Dr. Philip E Walling
Optometrist
1124 S State St Mco 101h
Big Rapids
, Michigan 49307-2256
Dr. Philip E Walling
Optometrist
1124 S State St Mco 101h
Big Rapids
, Michigan 49307-2256
(231) 591-3991
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Philip E Walling
- 1124 S State St Mco 101h
- Big Rapids, MI
- Zip : 49307-2256
- Fax : (231) 591-3991
- Phone : (231) 591-2020
Second Address
- Dr. Philip E Walling
- 1124 S State St Mco 101h
- Big Rapids, MI
- Zip : 49307-2256
- Fax : (231) 591-3991
- Phone : (231) 591-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003260 | MI |
National Provider Identifier
| NPI | 1003837733 |
|---|---|
| Provider Name | Dr. Philip E Walling |
| First Address | Big Rapids, MI 49307-2256 |
| Second Address | Big Rapids, MI 49307-2256 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 26/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0784610001030 | ADMINISTAR (01) | MI |
| 4401699 | (05) | MI |
| 900006367 | PRIORITY HEALTH (01) | MI |
| 999998001 | VSP (01) | MI |
| PW003260 | BLUE CROSS (01) | MI |
| T91189 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.