August Michael Wallace in Longview - Optometrist
August Michael Wallace - NPI 1477750081
August Michael Wallace is a Optometrist in Longview, Texas. August Michael Wallace practices all healthcare services and medical treatments related to Optometrist. The NPI Number for August Michael Wallace is 1477750081. The last update date is 2021-09-20.
August Michael Wallace's current location address is 3032 N Eastman Rd Ste 100, Longview, Texas. You can contact this provider via phone number 9036632020 and fax number 9036632353. The mailing address for August Michael Wallace is 3032 N Eastman Rd Ste 100, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | August Michael Wallace |
|---|---|
| Address | 3032 N Eastman Rd Ste 100, Longview, Texas |
| Phone Number | 9036632020 |
| Fax Number | 9036632353 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1477750081 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2021-09-20 |
Provider Mailing Address Detail
| Address | 3032 N Eastman Rd Ste 100 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756055024 |
| Phone Number | 9036632020 |
| Fax Number | 9036632353 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 7660 |
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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 August Michael Wallace by the Centers for Medicare & Medicaid Services?
The August Michael Wallace has been assigned the NPI (National Provider Identifier) 1477750081 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of August Michael Wallace?
The August Michael Wallace is physically situated at 3032 N Eastman Rd Ste 100, in the city of Longview, state of TX, with the postal code 756055024.
What is August Michael Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The August Michael 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 issue the 1477750081 to August Michael Wallace?
The August Michael Wallace received its 1477750081 assignment from the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date was the information regarding August Michael Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to August Michael Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-20.
NPI Number: 1669459376
Address: Edificio Medico Profesional Borinquen, Cabo Rojo, PR