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Contact Information

KEITH WALKER OPTICIANS
2632 CUNNINGHAM AVE
JOPLIN, MO64804-1542
 Phone: 417-623-3448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for KEITH WALKER OPTICIANS

NPI Number 1164690681
LBN Legal business name KEITH WALKER OPTICIANS
Authorized official REBECCA LAIS - (OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2008
Last updated 02/21/2008 - About 18 years ago
Identifiers
MO Medicaid 320412703
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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