National Provider Identifier Database

NICHOLAS R WALWORTH, OD – NPI #1295980423
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

NICHOLAS R WALWORTH, OD
30145 ANTELOPE RD
STE. 105
MENIFEE, CA92584
Phone: 951-679-6910
Fax:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for NICHOLAS R WALWORTH

NPI Number 1295980423
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/02/2008
Last updated 09/18/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 13632 TPA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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