Provider Demographics
NPI:1558531533
Name:DR WILLIAM M WALKER OD
Entity Type:Organization
Organization Name:DR WILLIAM M WALKER OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-625-4359
Mailing Address - Street 1:402 S COX ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5717
Mailing Address - Country:US
Mailing Address - Phone:336-625-4359
Mailing Address - Fax:336-625-4291
Practice Address - Street 1:402 S COX ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5717
Practice Address - Country:US
Practice Address - Phone:336-625-4359
Practice Address - Fax:336-625-4291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909941Medicaid
NC4879070001Medicare NSC