Ball, Walter Lee

Ball, Walter Lee is an sole proprietor health care provider with primary practice located at 7500 Centurion Parkway Suite 100 Dacaf, Jacksonville FL 32256-0517. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ball, Walter Lee can be contacted via phone (904) 443-1383.

Contact Information

Primary practice address
7500 Centurion Parkway Suite 100 Dacaf Jacksonville FL 32256-0517
Phone: (904) 443-1383
Fax: (904) 928-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4348 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X OPC3639 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 2141 North Carolina

Profile Details

NPI number 1811997752
LBN Legal business name Ball, Walter Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Apr 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811997752 NPPES
Massachusetts MEDICAID 0323471

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