MRS. TAMMY D. WALLACE (NPI# 1134356645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134356645 |
| Entity Type | Individual |
| Full Name | MRS. TAMMY D. WALLACE |
| Credential | O.D. |
| Practice Address |
1234 Andrews Ave Suite E Ozark AL 36360-3767 |
| Practice Telephone | 3344453937 |
| Practice Fax Number | 3344453938 |
| Mailing Telephone | 3344453937 |
| Mailing Fax Number | 3344453938 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-C02 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 157145 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457720955 | Tammy Wallace | Speech-Language Pathologist | 1003 Beckett Ste 201, San Antonio, TX 78213-1372 | 2015-09-15 |
| 1710018213 | Tammy Wallace | Specialist | 1227 Goerig Rd, Ste H, Woodland, WA 98674 | 2007-03-08 |
| Street Address |
1234 ANDREWS AVE SUITE E |
| City | OZARK |
| State | AL |
| Zip Code | 36360-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295118255 | Dr Tammy Wallace LLC | Optometrist | 1234 Andrews Ave, Suite E, Ozark, AL 36360-3767 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| 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 |
|---|---|---|---|---|
| 1083270003 | Jonathan Fugate | Optometrist | 1004 N 18th Ave, Ozark, MO 65721-9512 | 2019-05-15 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1881761161 | Laura Beth Montgomery | Optometrist | 1423 W State Highway J, Ozark, MO 65721-7473 | 2006-11-29 |
| 1922103308 | Alison Leigh Hood-kirar | Optometrist | 505 N 25th St, Ozark, MO 65721-9069 | 2006-09-13 |
| 1043269509 | Lauri Elizabeth Frazier | Optometrist | 1892 Andrews Ave, Ozark, AL 36360-3724 | 2006-05-10 |
| 1700871035 | Marie Eleanor Batson | Optometrist | 1000 W Jackson St, Ozark, MO 65721-9163 | 2005-09-13 |
| 1669478236 | D & J Optical Inc | Optometrist | 578 Andrews Ave, Ozark, AL 36360-3702 | 2005-06-28 |
| 1952902017 | Eye Care Associates, Inc. | Optometrist | 578 Andrews Ave, Ozark, AL 36360-3702 | 2020-11-05 |
| 1760936264 | Mercy Clinic Springfield Communities | Optometrist | 505 N 25th St, Ozark, MO 65721-9069 | 2016-08-12 |
| 1891145827 | Matthew Hansen | Optometrist | 1106 W Jackson St, Ozark, MO 65721-9164 | 2016-06-21 |
| Find all providers in OZARK | ||||
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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.