John Walton OD PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

IN18001851A & B Issued in IN

Legal business name

JOHN WALTON OD PC

Practice address

3200 John Williams Blvd
Bedford, IN 47421-9153

Phone

(812) 277-1275

Fax

(812) 323-7653

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Frederick Walton, OD

Title

President

Phone

(812) 322-5385

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1881932309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 E DANIEL ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014391",
            "telephone_number": "812-323-7666",
            "fax_number": "812-323-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 JOHN WILLIAMS BLVD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474219153",
            "telephone_number": "812-277-1275",
            "fax_number": "812-323-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WALTON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-322-5385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "IN18001851A & B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Bedford, IN
• Providers in Bedford, IN by specialty
• Corneal and Contact Management Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.