Provider Demographics
NPI:1780303313
Name:WALIA, NAVNEET (OD)
Entity type:Individual
Prefix:DR
First Name:NAVNEET
Middle Name:
Last Name:WALIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 CHANDLER DR
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48111-1886
Mailing Address - Country:US
Mailing Address - Phone:832-497-7272
Mailing Address - Fax:
Practice Address - Street 1:555 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1588
Practice Address - Country:US
Practice Address - Phone:734-429-4885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10579152W00000X
MI4901005656152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist