John W. Wallace Jr., LDO
Optician · North Randall, OH
Practice location
4840 Northfield RdNorth Randall, OH 44128-4524
- Phone
- (216) 475-2160
- Fax
- (216) 475-2161
NPI record
- NPI
- 1730551730
- Entity type
- Individual (Type 1)
- Enumeration date
- October 29, 2015
- Last updated
- October 29, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optician Primary | 156FX1800X |
6310S | OH |
About John Wallace
John W. Wallace Jr., LDO is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 4840 Northfield Rd, North Randall, OH 44128-4524. The NPI number 1730551730 was assigned on October 29, 2015 and the record was last updated on October 29, 2015.
John Wallace lists a license in the registry: #6310S (OH) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of John W. Wallace Jr., LDO?
The NPI number is 1730551730.
What is the phone number of John Wallace?
The phone number listed for the practice location is (216) 475-2160.
Where is John Wallace located?
4840 Northfield Rd, North Randall, OH 44128-4524.
What is the taxonomy code for John Wallace?
The primary taxonomy code is 156FX1800X – Optician.
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.
Other Optician providers in North Randall
- Cole Vision Corporation501 Randall Park Mall