Michael Wallace is a Optometrist in Flushing, Michigan. Michael Wallace practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael Wallace is 1689615346. The last update date is 2009-05-07.
Michael Wallace's current location address is 1379 Flushing Rd, Flushing, Michigan. You can contact this provider via phone number 8106593135 and fax number 8106590024. The mailing address for Michael Wallace is 1379 Flushing Rd, Flushing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Wallace |
|---|---|
| Address | 1379 Flushing Rd, Flushing, Michigan |
| Phone Number | 8106593135 |
| Fax Number | 8106590024 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1689615346 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2009-05-07 |
Provider Mailing Address Detail
| Address | 1379 Flushing Rd |
|---|---|
| City | Flushing |
| State | Michigan (MI) |
| Post Code | 484332262 |
| Phone Number | 8106593135 |
| Fax Number | 8106590024 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901003070 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 944885903 | MI | -- | |
| 900B514120 | MI | BLUE CARE NETWORK | |
| 2678599 | OH | -- | |
| 900B566350 | MI | BCBS OF MI |
Post Comment/ Review Below
What is the Michael Wallace's 1689615346?
The Michael Wallace's NPI (National Provider Identifier) Number is 1689615346. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Wallace?
The Michael Wallace is situated at 1379 Flushing Rd, in the city of Flushing, state of MI, with the zip code 484332262.
What is Michael Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Wallace is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Michael Wallace receive the assignment of its 1689615346 from the Centers for Medicare & Medicaid Services?
The Michael Wallace was issued its 1689615346 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the details related to Michael Wallace most recently updated or revised?
The information pertaining to Michael Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-07.
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