Provider Demographics
NPI:1740486760
Name:WALLS, THOMAS HARL JR (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HARL
Last Name:WALLS
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:2002 TOWHEE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6164
Mailing Address - Country:US
Mailing Address - Phone:615-302-3324
Mailing Address - Fax:
Practice Address - Street 1:443 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4629
Practice Address - Country:US
Practice Address - Phone:615-771-7202
Practice Address - Fax:615-771-7211
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2710152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist