DR. LISA G. WALLACE-DAVIS (NPI# 1356373914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356373914 |
| Entity Type | Individual |
| Full Name | DR. LISA G. WALLACE-DAVIS |
| Credential | OD |
| Practice Address |
1134 Big Bethel Rd Hampton VA 23666-1906 |
| Practice Telephone | 7578276612 |
| Practice Fax Number | 7578276296 |
| Mailing Telephone | 7578276612 |
| Mailing Fax Number | 7578276296 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618000303 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 541786245 | 01 | |
| VA | 009232583 | 05 | |
| VA | STATE LICENSE | 0618000303 | 01 |
| Street Address |
1134 BIG BETHEL RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962540534 | Wal-dav Incorporated | Optometrist | 1134 Big Bethel Rd, Hampton, VA 23666-1906 | 2007-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831627900 | Karlotta Allyce Thurman | Optometrist | 115 Coliseum Xing # 58, Hampton, VA 23666-5971 | 2017-06-01 |
| 1093197204 | Mark Mixan | Optometrist | 436 12th Ave Ne, Hampton, IA 50441-1117 | 2015-06-24 |
| 1114277951 | Sight 2 See Optometry Pllc | Optometrist | 1074 W Mercury Blvd, Hampton, VA 23666-3380 | 2012-09-19 |
| 1942580428 | Advanced Family Eyecare of Hampton, LLC | Optometrist | 990 Bear Creek Blvd Ste D, Hampton, GA 30228-1864 | 2011-08-28 |
| 1265604367 | Dr John S Lowitz Od | Optometrist | 1610 Aberdeen Rd Ste C, Hampton, VA 23666-3145 | 2008-03-28 |
| 1437329257 | Shalini L. Maharaj O.d., LLC | Optometrist | 100 Newmarket Sq, Hampton, VA 23605-2730 | 2008-03-07 |
| 1457520793 | Shawn Monteal Lawrence | Optometrist | 4905 Falcon Creek Way, Apt 104, Hampton, VA 23666-0666 | 2008-02-20 |
| 1346399680 | Paul Werner Seck | Optometrist | 2115 Executive Dr Ste 7a, Hampton, VA 23666-2410 | 2007-01-09 |
| 1235299736 | Steven K. Taylor | Optometrist | 1492 Wildwood Way, Hampton, GA 30228-2678 | 2006-12-12 |
| 1508941709 | Fadee Michael Bittar | Optometrist | 2040 Coliseum Dr, #33, Hampton, VA 23666 | 2006-10-26 |
| Find all providers in HAMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.