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DAWN K WALT OD
NPI 1639210164
Optometrist in Coopersville, MI

Active since February 09, 2007
692 W RANDALL ST, COOPERSVILLE, MI 49404(616) 837-6847(616) 837-9338 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dawn K Walt Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWN K WALT OD (NPI 1639210164) is an individual optometrist in Coopersville, Michigan, licensed in Michigan (4901002956) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1639210164
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDAWN K WALTCredential: OD
Location Address692 W RANDALL STCoopersville, MI 49404-1306
Mailing Address692 W Randall StCoopersville, MI 49404-1306 · (616) 837-6847 · Fax (616) 837-9338
Phone(616) 837-6847
Fax(616) 837-9338
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateApril 29, 2008
✔ NPI 1639210164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901002956
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
692 W RANDALL ST, Coopersville, MI 49404
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Other Identifiers 5

Medicare PIN0N55960MI
Other900G065080MI · Bcbs
Medicare NSC0879000001MI
OtherP00109551MI · Rr Medicare
Medicare UPINT33522MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRONSON EYE CARE, L.L.C
Optometrist
692 W RANDALL ST
COOPERSVILLE, MI 49404
Ottawa County (616) 837-6847
COOPERSVILLE VISION CENTER PC
Optometrist
692 W RANDALL ST
COOPERSVILLE, MI 49404
Ottawa County (616) 837-6847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn Walt's NPI number?

The NPI number for Dawn Walt is 1639210164. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Dawn Walt located?

Dawn Walt practices at 692 W Randall St, Coopersville, MI 49404. The listed phone number is (616) 837-6847.

What is Dawn Walt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Dawn Walt was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.