Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE WALLACE
ActiveTINA MARIE WALLACE is a Vision Therapy Optometrist healthcare provider located in HAUPPAUGE, New York. NPI 1285271254 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · HAUPPAUGE, NY
Registration Details
- NPI Number
- 1285271254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2019 (6.7024385622929 yrs)
- Last Updated
- Dec 9, 2019
- License
-
82685981 (NY)
Practice Information
- Address
-
1363 VETERANS MEMORIAL HWY STE 8HAUPPAUGE, NY, 117883046Browse NY providers · Browse ZIP 11788
- Phone
- 6313663876
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
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.