DR. Walter Lee Ball JR., OD

NPI #1811997752 in Jacksonville, Florida

Provider Information

NPI Number: 1811997752
Entity Type: Individual
Name: DR. Walter Lee Ball JR., OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 21, 2005
Last Updated: Apr 13, 2012

Practice Location

Address: 7500 CENTURION PARKWAY
Address 2: SUITE 100 DACAF
City: Jacksonville
State: Florida
ZIP Code: 32256-0517
Phone: (904) 443-1383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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