Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELODIE KAY WALLACE, O.D.
Active Sole ProprietorMELODIE KAY WALLACE, O.D. is a Optometrist healthcare provider located in SAN ANTONIO, Texas. NPI 1124147954 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1124147954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2007 (19.362726975275 yrs)
- Last Updated
- Feb 13, 2026
- License
-
3539 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17700 SAN PEDRO AVESUITE 136SAN ANTONIO, TX, 782321404Browse TX providers · Browse ZIP 78232
- Phone
- 2104943146
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MARK GERARD CAROLAN | O.D. | 1073516241 |
| MICHAEL A OROZCO | O.D. | 1568467298 |
| DR. JOHN M. NEVELOW | O.D. | 1710984067 |
| DR. JORGE SAN MARTIN | OD | 1811995780 |
| DR. AARON ERDMANCZYK | O.D. | 1578562377 |
| DR. AGNES LORRAINE PALYS | O.D. | 1831198548 |
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.