DR. DAVID WALLACH (NPI# 1972717544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972717544 |
| Entity Type | Individual |
| Full Name | DR. DAVID WALLACH |
| Credential | OD |
| Practice Address |
16820 Jamaica Ave Jamaica NY 11432-5216 |
| Mailing Address |
6939 173rd St Flushing NY 11365-3432 |
| Practice Telephone | 7187395454 |
| Practice Fax Number | 7185261818 |
| Mailing Telephone | 7187395454 |
| Mailing Fax Number | 7185261818 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV004825 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01178821 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033595772 | David Wallach | Contractor | 3100 Cone Manor Ln, Raleigh, NC 27613-6607 | 2015-08-05 |
| 1174935746 | David Brian Wallach | Dentist | 4529 Hwy 71 E, Del Valle, TX 78617-3280 | 2014-05-29 |
| 1407897572 | David Wallach | Orthopaedic Surgery | 14 Technology Dr, East Setauket, NY 11733-3472 | 2006-06-09 |
| Street Address |
16820 JAMAICA AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679613814 | Monwara K Halim | Dentist | 16820 Jamaica Ave, Jamaica, NY 11432 | 2007-02-07 |
| 1912466707 | Jamaica Eye Care Center LLC | Optometrist | 16820 Jamaica Ave, Jamaica, NY 11432-5216 | 2019-03-19 |
| 1992161863 | The Dental Corner Care PC | Dentist | 16820 Jamaica Ave, Jamaica, NY 11432-5216 | 2016-01-07 |
| 1891930756 | Dubin Optical Partners | Optometrist | 16820 Jamaica Ave, Jamaica, NY 11432-5216 | 2008-12-06 |
| 1043355076 | Badrud Duja | Dentist | 16820 Jamaica Ave, Jamaica, Jamaica, NY 11432-5216 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| 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 |
|---|---|---|---|---|
| 1699209353 | Jamaica Vision Center Corp | Optometrist | 16413 Jamaica Ave, Jamaica, NY 11432 | 2017-04-19 |
| 1124484506 | Eyecare Advantage, Inc. | Optometrist | 11734 Sutphin Blvd, Jamaica, NY 11434-1546 | 2016-01-14 |
| 1619166899 | Nahida Afsana Lasker | Optometrist | 8243 165th St, Jamaica, NY 11432-1211 | 2007-10-23 |
| 1417070889 | Sarika Mehta | Optometrist | 16405 Hillside Ave Fl 2, Jamaica, NY 11432-4140 | 2007-04-09 |
| 1487714028 | Daniel M Friedman | Optometrist | 16334 Jamaica Ave, Jamaica, NY 11432-4912 | 2006-12-12 |
| 1689732604 | Irwin Daniel Sicherman | Optometrist | 16501 Jamaica Ave, Jamaica, NY 11432-4900 | 2006-12-04 |
| 1760554042 | Sutphin Optometry PC | Optometrist | 8914 Sutphin Blvd, Jamaica, NY 11435-3715 | 2006-11-14 |
| 1194815316 | Phyllis Gorelick | Optometrist | 159-03 Jamaica Ave, Jamaica, NY 11434 | 2006-10-16 |
| 1356352819 | Cecilia Jacques | Optometrist | 82-68 164th Street, Queens Hospital Center, Pavilion P-452, Jamaica, NY 11432 | 2006-08-10 |
| 1386605509 | David M Weiss | Optometrist | 165-01 Jamaica Ave, Jamaica, NY 11432-4900 | 2006-03-29 |
| Find all providers in JAMAICA | ||||
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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.