WALLACE EYE SURGERY, LTD (NPI# 1679511679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679511679 |
| Entity Type | Organization |
| Organization Name | WALLACE EYE SURGERY, LTD |
| Practice Address |
4110 Parliament Dr Alexandria LA 71303-2717 |
| Practice Telephone | 3184484488 |
| Practice Fax Number | 3184489731 |
| Mailing Telephone | 3184484488 |
| Mailing Fax Number | 3184489731 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT BRUCE WALLACE III (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3184484488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 012846 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1942006 | 05 |
| Street Address |
4110 PARLIAMENT DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659364453 | Robert Theus Crotty | Optometrist | 4110 Parliament Dr, Alexandria, LA 71303-2717 | 2005-08-26 |
| 1467998872 | Carrie Webster Medical LLC | Nurse Anesthetist, Certified Registered | 4110 Parliament Dr, Alexandria, LA 71303-2717 | 2017-01-09 |
| 1972512770 | Carrie Ann Webster | Nurse Anesthetist, Certified Registered | 4110 Parliament Dr, Alexandria, LA 71303-2717 | 2006-08-08 |
| 1598792293 | Robert Bruce Wallace IIi | Ophthalmology | 4110 Parliament Dr, Alexandria, LA 71303-2717 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1699103507 | Nadim Habash | Ophthalmology | 2181 Jamieson Ave Unit 605, Alexandria, VA 22314-5749 | 2013-10-31 |
| 1851666143 | Edward Chay | Ophthalmology | 8101 Hinson Farm Rd Ste 203, Alexandria, VA 22306-3405 | 2012-03-20 |
| 1952697773 | Sundeep K Kasi | Ophthalmology | 6354 Walker Ln Fl 1, Alexandria, VA 22310-3229 | 2011-06-20 |
| 1689811531 | George Edward Marak | Ophthalmology | 6320 Fort Hunt Rd, Alexandria, VA 22307-1343 | 2009-01-14 |
| 1639351174 | Jerald J. Littlefield, Md, PC | Ophthalmology | 428 S Washington St, Alexandria, VA 22314-3630 | 2007-11-27 |
| 1073734323 | Lisso Nachman | Ophthalmology | 4315 Willowick Blvd, Alexandria, LA 71303 | 2007-05-02 |
| 1689755357 | Jay E. Katzen | Ophthalmology | 4900 Seminary Rd, Suite 350, Alexandria, VA 22311-1860 | 2006-10-18 |
| 1629165873 | Richard Huberman M.d. & Alan J. Pollack M.d., Ltd. | Ophthalmology | 4660 Kenmore Ave Ste 416, Alexandria, VA 22304-1306 | 2006-10-09 |
| 1760403240 | Mohammed Elbash | Ophthalmology | 2849 Duke St, Alexandria, VA 22314-4512 | 2006-07-21 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on WALLACE EYE SURGERY, LTD.
| 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.