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Contact Information

JADE M WALKER, OD
1800 AIRPARK DR
MYRTLE BEACH, SC29577-1412
 Phone: 843-477-0177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for JADE M WALKER · (Female)

NPI Number 1548607419
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/31/2013
Last updated 01/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2369
  • SC License # 1771
Hospital affiliation(s) Not Available
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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