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

AUSTIN WALLACE, RSLD

Active

AUSTIN WALLACE, RSLD is a Optician, Dispensing healthcare provider located in ORANGE, California. NPI 1831754209 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · ORANGE, CA

Registration Details

NPI Number
1831754209
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2019 (7.3228940045434 yrs)
Last Updated
May 1, 2019
License
5200 (CA)

Practice Information

Address
2138 N TUSTIN ST
ORANGE, CA, 928653712
Browse CA providers · Browse ZIP 92865
Phone
7144504487
Fax
7146370020
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in ORANGE, CA

Name Credential NPI
MR. HIEP Q DINH MD,DO ETC 1417199183
GLADYS SERVIN DE LA MORA RSLD 1669037032
JOHN KAWECKI RSLD 1427613884
THUY VO 1902579550
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.