Dawn K Walt, OD | |
692 W Randall St, Coopersville, MI 49404-1306 | |
(616) 837-6847 | |
(616) 837-9338 |
Full Name | Dawn K Walt |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 692 W Randall St, Coopersville, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639210164 | NPI | - | NPPES |
900G065080 | Other | MI | BCBS |
P00109551 | Other | MI | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002956 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dawn K Walt, OD 692 W Randall St, Coopersville, MI 49404-1306 Ph: (616) 837-6847 | Dawn K Walt, OD 692 W Randall St, Coopersville, MI 49404-1306 Ph: (616) 837-6847 |
Bronson Eye Care, L.l.c Optometrist Medicare: Medicare Enrolled Practice Location: 692 W Randall St, Coopersville, MI 49404 Phone: 616-837-6847 Fax: 616-837-9338 | |
Coopersville Vision Center Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 692 W Randall St, Coopersville, MI 49404 Phone: 616-837-6847 Fax: 616-837-9338 |