OrganizationActive
Nathan Walker
NPI 1902163462 · Preferred Provider Organization · Glenolden, PA
Provider details
- NPI number
- 1902163462
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Nathan Walker, Optometrist(610) 586-0651
- License
- OEG-001360 (PA)
Specialties & taxonomies
Managed Care Organizations
Practice location
30 S Macdade Blvd
Glenolden, PA 19036-1725
Phone: (610) 586-0651
Approximate (ZIP-level) locationGet directions
Mailing address
30 S Macdade Blvd
Glenolden, PA 19036-1725
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2012-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.