Amwallace, LLC

Optometrist · Longview, TX

Organization Active NPI

NPI number 1174802631

Practice location

3032 N Eastman Rd Ste 100
Longview, TX 75605-5024
Phone
(903) 663-2020
Fax
(903) 663-2353

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NPI record

NPI
1174802631
Entity type
Organization (Type 2)
Enumeration date
August 15, 2011
Last updated
March 25, 2020
Certified
March 25, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X T07660 TX

Authorized official

Name
Mr. August Michael Wallace, OD
Title
Doctor/Owner
Phone
(903) 663-2020

Other names

  • August Wallace Eyecare Associates
  • Texas State Optical Longview

About Amwallace, LLC

Amwallace, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3032 N Eastman Rd Ste 100, Longview, TX 75605-5024. The NPI number 1174802631 was assigned on August 15, 2011 and the record was last updated on March 25, 2020.

Amwallace, LLC lists a license in the registry: #T07660 (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. August Michael Wallace, OD, Doctor/Owner.

Frequently asked questions

What is the NPI number of Amwallace, LLC?

The NPI number is 1174802631.

What is the phone number of Amwallace, LLC?

The phone number listed for the practice location is (903) 663-2020.

Where is Amwallace, LLC located?

3032 N Eastman Rd Ste 100, Longview, TX 75605-5024.

What is the taxonomy code for Amwallace, LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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