Jason Wallace is a Optometrist in Casselberry, Florida. Jason Wallace practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jason Wallace is 1689751166. The last update date is 2017-11-08.
Jason Wallace's current location address is 1921 Varick Way, Casselberry, Florida. You can contact this provider via phone number 4076379621. The mailing address for Jason Wallace is 1921 Varick Way, Casselberry, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Wallace |
|---|---|
| Address | 1921 Varick Way, Casselberry, Florida |
| Phone Number | 4076379621 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1689751166 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2017-11-08 |
Provider Mailing Address Detail
| Address | 1921 Varick Way |
|---|---|
| City | Casselberry |
| State | Florida (FL) |
| Post Code | 327072410 |
| Phone Number | 4076379621 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC4182 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identifier code issued to Jason Wallace by the Centers for Medicare & Medicaid Services?
The Jason Wallace has been assigned the NPI (National Provider Identifier) 1689751166 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jason Wallace's facilities are geographically located?
The facilities of Jason Wallace are physically situated at the following location: 1921 Varick Way, Casselberry, FL, 327072410.
What is Jason Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Wallace's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689751166 to Jason Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1689751166 to Jason Wallace on 2006-11-01.
When was the information regarding Jason Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-11-08.
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