Dr. Jessica S Walter, OD
Optometrist in Worcester, MA. Individual provider (NPI-1).
NPI number1114404456
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1114404456
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessica S Walter
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2018
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5381 | MA | Yes |
| 152W00000X | Optometrist | 2206DT | KY | |
| 152WC0802X | Optometrist, Corneal and Contact Management | 2206DT | KY | |
| 152W00000X | Optometrist | 4901005145 | MI |
Practice location
10 Lincoln SqWorcester, MA 01608-1135
Phone 508-373-5830
Mailing address
10 Lincoln SqWorcester, MA 01608-1135
Phone 508-373-5830
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All 63 Optometrist providers in Worcester · All 14,792 providers in Worcester
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