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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AUGUST MICHAEL WALLACE, O.D.

Active

DR. AUGUST MICHAEL WALLACE, O.D. is a Optometrist healthcare provider located in LONGVIEW, Texas. NPI 1477750081 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LONGVIEW, TX

Registration Details

NPI Number
1477750081
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2007 (19.120579019372 yrs)
Last Updated
Sep 20, 2021
License
7660 (TX)

Practice Information

Address
3032 N EASTMAN RD STE 100
LONGVIEW, TX, 756055024
Browse TX providers · Browse ZIP 75605
Phone
9036632020
Fax
9036632353
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in LONGVIEW, TX

Name Credential NPI
DR. MARK ALLISON LITTLE O.D. 1699772863
DR. JEFFREY WILLIAM JONES O.D. 1356399976
DR. DONALD JOE VAN SANDT O.D. 1922057439
DR. DANIEL NEAL EDWARDS O.D. 1003927476
DR. JERRY LEE KING O.D. 1417020462
DR. EMILY GREER MARSH OD 1881761377
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.