Maureen Kimora Wallen OD

  • NPI 1285618439
According to our database, the NPI number for Maureen Kimora Wallen OD is 1285618439 and activated since 18 years ago. Maureen Kimora Wallen OD is an individual provider who specializes in Optometrist, and the primary practice location is 5700 West Genesee Street, Camillus, NY 13031. You can also contact Maureen Kimora Wallen OD via telephone number is (315) 488-1601. Provider NPI information was last updated on 04/01/2010.

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Overview of Maureen Kimora Wallen OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/01/2005
  • Last updated: 04/01/2010

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: TUV006882
  • License State: NY

Provider Mailing Address

  • Address: 5700 West Genesee Street
    Suite 112
    Camillus, NY 13031
  • Phone: 315-488-1601
  • Fax: 315-488-0047

Provider Practice Location

  • Address: 5700 West Genesee Street
    Suite 112
    Camillus, NY 13031
  • Phone: 315-488-1601
  • Fax: 315-488-0047

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: TUV006882
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 02845334
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Maureen Kimora Wallen OD?
  • A: The npi number for Maureen Kimora Wallen OD is 1285618439.
  • Q: What are Maureen Kimora Wallen OD's specialties?
  • A: Maureen Kimora Wallen OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Maureen Kimora Wallen OD?
  • A: The medical license number for Maureen Kimora Wallen OD is TUV006882 and issued in NY in USA.
  • Q: Where is Maureen Kimora Wallen OD practice location?
  • A: Maureen Kimora Wallen OD is practicing at 5700 West Genesee Street, Camillus, NY 13031.
  • Q: How to contact Maureen Kimora Wallen OD?
  • A: You can contact Maureen Kimora Wallen OD via 315-488-1601.