Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LANDON J WALLACE, O.D.
ActiveDR. LANDON J WALLACE, O.D. is a Optometrist healthcare provider located in MEMPHIS, Tennessee. NPI 1639481906 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MEMPHIS, TN
Registration Details
- NPI Number
- 1639481906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2010 (16.118117639445 yrs)
- Last Updated
- May 11, 2018
- License
-
2934 (TN)
Practice Information
- Address
-
5118 PARK AVE STE 101MEMPHIS, TN, 381175710Browse TN providers · Browse ZIP 38117
- Phone
- 9016834529
- Fax
- 9017674404
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA CISARIK | O.D. | 1508869009 |
| RICHARD BUCK | O.D. | 1548295983 |
| DAVID G EVANS | OD | 1063417863 |
| AMY F. WAYMIRE | OD | 1225037286 |
| LEROY NORTON JR. | OD | 1609869866 |
| DR. KATHERINE DENTON SANFORD | OD | 1982697025 |
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.