Michael Wallace, O.D.

Optometrist · Flushing, MI

Individual Active NPI

NPI number 1689615346

Practice location

1379 Flushing Rd
Flushing, MI 48433-2262
Phone
(810) 659-3135
Fax
(810) 659-0024

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NPI record

NPI
1689615346
Entity type
Individual (Type 1)
Enumeration date
June 10, 2006
Last updated
May 7, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4901003070 MI

About Dr. Wallace

Michael Wallace, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1379 Flushing Rd, Flushing, MI 48433-2262. The NPI number 1689615346 was assigned on June 10, 2006 and the record was last updated on May 7, 2009.

Dr. Wallace lists a license in the registry: #4901003070 (MI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Wallace, O.D.?

The NPI number is 1689615346.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (810) 659-3135.

Where is Dr. Wallace located?

1379 Flushing Rd, Flushing, MI 48433-2262.

What is the taxonomy code for Dr. Wallace?

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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