Christopher Shawn Wallace, O.D.

Optometrist · Juneau, AK

Individual Active NPI

NPI number 1790859528

Practice location

8745 Glacier Hwy
Space 426
Juneau, AK 99801-8029
Phone
(907) 796-3937

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NPI record

NPI
1790859528
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X AK 201 AK
Optometrist 152W00000X OD3752WA WA

Mailing address

8624 202ND St SW
Edmonds, WA 98026-6644
Phone
(206) 419-7400

About Dr. Wallace

Christopher Shawn Wallace, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 8745 Glacier Hwy, Space 426, Juneau, AK 99801-8029. The NPI number 1790859528 was assigned on November 20, 2006 and the record was last updated on July 8, 2007.

Dr. Wallace lists 2 licenses in the registry: #AK 201 (AK) for Optometrist; #OD3752WA (WA) 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 Christopher Shawn Wallace, O.D.?

The NPI number is 1790859528.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (907) 796-3937.

Where is Dr. Wallace located?

8745 Glacier Hwy, Space 426, Juneau, AK 99801-8029.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

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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