Lisa G. Wallace-Davis in Hampton - Optometrist
Lisa G. Wallace-Davis - NPI 1356373914
Lisa G. Wallace-Davis is a Optometrist in Hampton, Virginia. Lisa G. Wallace-Davis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lisa G. Wallace-Davis is 1356373914. The last update date is 2011-12-15.
Lisa G. Wallace-Davis's current location address is 1134 Big Bethel Rd, Hampton, Virginia. You can contact this provider via phone number 7578276612 and fax number 7578276296. The mailing address for Lisa G. Wallace-Davis is 1134 Big Bethel Rd, Hampton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa G. Wallace-Davis |
|---|---|
| Address | 1134 Big Bethel Rd, Hampton, Virginia |
| Phone Number | 7578276612 |
| Fax Number | 7578276296 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1356373914 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2011-12-15 |
Provider Mailing Address Detail
| Address | 1134 Big Bethel Rd |
|---|---|
| City | Hampton |
| State | Virginia (VA) |
| Post Code | 236661906 |
| Phone Number | 7578276612 |
| Fax Number | 7578276296 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618000303 |
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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 |
|---|---|---|---|
| 618000303 | VA | STATE LICENSE | |
| 9232583 | VA | -- | |
| 541786245 | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa G. Wallace-Davis by the Centers for Medicare & Medicaid Services?
The Lisa G. Wallace-Davis has been issued the NPI (National Provider Identifier) 1356373914 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lisa G. Wallace-Davis's facilities are geographically located?
The facilities of Lisa G. Wallace-Davis are physically situated at the following location: 1134 Big Bethel Rd, Hampton, VA, 236661906.
What is the Lisa G. Wallace-Davis's specialty and taxonomy code?
The Lisa G. Wallace-Davis's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did Lisa G. Wallace-Davis receive its 1356373914 assignment from the Centers for Medicare & Medicaid Services?
The Lisa G. Wallace-Davis was assigned its 1356373914 on 2006-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lisa G. Wallace-Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa G. Wallace-Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-15.
NPI Number: 1407858566
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