Provider Demographics
NPI:1689626509
Name:RAMSEY, WALTER SETH (OD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:SETH
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:WALTER
Other - Middle Name:S
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1301 LEE ST E
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1928
Mailing Address - Country:US
Mailing Address - Phone:304-343-3363
Mailing Address - Fax:304-342-3311
Practice Address - Street 1:1301 LEE ST E
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1928
Practice Address - Country:US
Practice Address - Phone:304-343-3363
Practice Address - Fax:304-342-3311
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV0593152W00000X
GAOPT000735152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001709447OtherBLUE CROSS
WV181529178OtherPALMETTO GBA - RAILROAD MEDICARE
WV001709447OtherBLUE CROSS
T32942Medicare UPIN