DR. CHRISTOPHER SHAWN WALLACE (NPI# 1790859528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790859528 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER SHAWN WALLACE |
| Credential | O.D. |
| Practice Address |
8745 Glacier Hwy Space 426 Juneau AK 99801-8029 |
| Mailing Address |
8624 202nd St Sw Edmonds WA 98026-6644 |
| Practice Telephone | 9077963937 |
| Mailing Telephone | 2064197400 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OD3752WA | WA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | AK 201 | AK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | OD 5342 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958409 | Christopher Wallace | Counselor | 2627 Edenborn, 302, Metairie, LA 70002 | 2015-07-22 |
| 1578699641 | Christopher J Wallace | Dentist | 1400 Townview Ln, Santa Rosa, CA 95405-7538 | 2007-02-26 |
| 1578060646 | Christopher Wallace | Physical Therapy Assistant | 16333 Chagrin Blvd, Cleveland, OH 44120-3711 | 2018-04-06 |
| 1992208706 | Christopher William Wallace | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2018-03-18 |
| 1063923357 | Christopher Wallace | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2017-10-13 |
| 1932633328 | Christopher Wallace | General Practice | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-04-12 |
| 1366974610 | Christopher Scott Wallace | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2017-03-28 |
| 1508301466 | Christopher Wallace | Specialist/Technologist | 1919 Skokie Valley Rd, Highland Park, IL 60035-2361 | 2017-01-03 |
| 1033599790 | Christopher Wallace | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2015-06-08 |
| 1285041301 | Christopher Wallace | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-07-21 |
| Street Address |
8745 GLACIER HWY SPACE 426 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-8029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437574506 | Eye On Health Inc | Optometrist | 8745 Glacier Hwy, 426, Juneau, AK 99801-8029 | 2014-02-26 |
| 1316071954 | Northern Lights Optical | Technician/Technologist | 8745 Glacier Hwy, Sp. 426, Juneau, AK 99801-8029 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1447690037 | Sarah Woolcott Bixby-dubois | Optometrist | 800 Glacier Ave Ste B, Juneau, AK 99801-1855 | 2013-06-27 |
| 1346319878 | Northwest Optometry LLC | Optometrist | 5225 Commercial Blvd, Juneau, AK 99801-7210 | 2006-11-07 |
| 1558454553 | Michael J Bennett | Optometrist | 9309 Glacier Hwy Ste A103, Juneau, AK 99801-9300 | 2006-10-02 |
| 1437259678 | Forrest Bates Messerschmidt | Optometrist | 8800 Glacier Hwy Ste 118, Juneau, AK 99801-8079 | 2006-09-25 |
| 1700801420 | Jill Geering Matheson | Optometrist | 800 Glacier Ave, Juneau, AK 99801-1845 | 2006-07-13 |
| 1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
| 1427462258 | Hanna Rae Fylpaa | Optometrist | 3100 Channel Dr, Suite 300, Juneau, AK 99801-7837 | 2014-06-19 |
| 1437574506 | Eye On Health Inc | Optometrist | 8745 Glacier Hwy, 426, Juneau, AK 99801-8029 | 2014-02-26 |
| 1942589783 | Elizabeth Mary Hunt | Optometrist | 9309 Glacier Hwy, Ste A103, Juneau, AK 99801-9306 | 2011-08-10 |
| 1386948669 | Jaelyn Mccomas | Optometrist | 9309 Glacier Hwy, Suite A103, Juneau, AK 99801-9306 | 2010-12-31 |
| Find all providers in JUNEAU | ||||
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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.