Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN LEE WALLER II, LDO
ActiveMARTIN LEE WALLER II, LDO is a Optician, Dispensing healthcare provider located in HIXSON, Tennessee. NPI 1982111936 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HIXSON, TN
Registration Details
- NPI Number
- 1982111936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2017 (8.5827790322361 yrs)
- Last Updated
- Dec 29, 2017
- License
-
DPO0000002824 (TN)
Practice Information
- Address
-
5301 HIGHWAY 153HIXSON, TN, 373434966Browse TN providers · Browse ZIP 37343
- Phone
- 4238779990
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in HIXSON, TN
| Name | Credential | NPI |
|---|---|---|
| CINDY A CRITTENDEN-HENDERSON | LDO | 1922132265 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.