DR. SHAUNE WALLACE (NPI# 1467550335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467550335 |
| Entity Type | Individual |
| Full Name | DR. SHAUNE WALLACE |
| Credential | O.D. |
| Practice Address |
1100 Canyon View Dr Ste G Santa Clara UT 84765-5672 |
| Practice Telephone | 4356743502 |
| Mailing Telephone | 4356743502 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6300367-9934 | UT | Eye and Vision Services Providers |
| Street Address |
1100 CANYON VIEW DR STE G |
| City | SANTA CLARA |
| State | UT |
| Zip Code | 84765-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033301239 | Clear View Eye Care P.C. | Optometrist | 1100 Canyon View Dr Ste G, Santa Clara, UT 84765-5672 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275988305 | Caitlin Rose Tharaldson | Social Worker | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-04-26 |
| 1881069706 | Harmon City Inc | Pharmacy | 3520 Pioneer Parkway, Santa Clara, UT 84765 | 2015-12-03 |
| 1225239171 | Jonathan J Kolon | Dentist | 3176 Santa Clara Drive, Santa Clara, UT 84765 | 2007-05-29 |
| 1225139017 | Elizabeth Ann Johnson | Psychologist | 3090 Windmill Circle, Santa Clara, UT 84765 | 2006-09-26 |
| 1427556018 | Brand Bonsall | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2018-01-29 |
| 1104278076 | Michael Scott Mein | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-07-05 |
| 1982050530 | Mary Elizabeth Zaunbrecher | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-05-12 |
| 1073134896 | Connor James Finklea | Student in an Organized Health Care Education/Training Program | 2503 Stefanie Ln, Santa Clara, UT 84765-1217 | 2020-05-04 |
| 1316293368 | Eric Dennis Drake | Optometrist | 1724 Snow Canyon Dr, Santa Clara, UT 84765-5138 | 2012-07-27 |
| 1730706649 | Matthew Fehrenbacker | Student in an Organized Health Care Education/Training Program | 3398 Windmill Dr, Santa Clara, UT 84765-5193 | 2020-06-26 |
| Find all providers in zip 84765 | ||||
| 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 |
|---|---|---|---|---|
| 1659803088 | Nikko Iravani | Optometrist | 2702 Augustine Dr Ste 120, Santa Clara, CA 95054-2940 | 2017-04-03 |
| 1073069530 | Elizabeth Cheng & Gary Ho, Optometrists A Professional Corporation | Optometrist | 5488 Marvell Ln, Santa Clara, CA 95054-3606 | 2016-08-25 |
| 1205239985 | See Inc | Optometrist | 2855 Stevens Creek Blvd Ste 1051, Santa Clara, CA 95050-6712 | 2014-10-08 |
| 1922439488 | Michelle Vo | Optometrist | 3107 San Juan Ave, Santa Clara, CA 95051-1641 | 2013-12-10 |
| 1811232416 | Daniel Cho | Optometrist | 2794 El Camino Real Ste 100, Santa Clara, CA 95051-3061 | 2012-12-07 |
| 1316293368 | Eric Dennis Drake | Optometrist | 1724 Snow Canyon Dr, Santa Clara, UT 84765-5138 | 2012-07-27 |
| 1891075990 | Christine N Ngo | Optometrist | 3561 El Camino Real, Suite 40, Santa Clara, CA 95051-2101 | 2011-08-19 |
| 1306125760 | James Yao | Optometrist | 995 Hilmar St, Santa Clara, CA 95050-5918 | 2011-08-16 |
| 1891013819 | Michael Lee | Optometrist | 2366 El Camino Real Ste 5, Santa Clara, CA 95050-4070 | 2010-05-14 |
| 1164540167 | Scott Hyver | Optometrist | 2901 Tasman Dr, Suite 208, Santa Clara, CA 95054-1136 | 2007-03-27 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 84765 |
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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.