DR. JOHN K WALLACE


Address: 2664 Hartford Hwy, Dothan, AL 36305-4904
Phone: 3346992244

DR. JOHN K WALLACE (NPI# 1992735302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992735302
Entity Type Individual
Full Name DR. JOHN K WALLACE
Credential MD
Practice Address 2664 Hartford Hwy
Dothan
AL 36305-4904
Practice Telephone 3346992244
Practice Fax Number 3346992245
Mailing Telephone 3346992244
Mailing Fax Number 3346992245
Enumeration Date 2006-07-03
Last Update Date 2010-03-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 00013178 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 000046695 05

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1437590973 John Burton Wallace V Social Worker 141 S 5th St Ofc East, Brooklyn, NY 11211 2013-07-12
1346517307 John Widtsoe Wallace Specialist 1091 Southport Dr, Medina, OH 44256-3019 2011-11-18
1225292634 John Wallace Anesthesiology 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2008-07-15
1629241070 John Dean Wallace Jr. Dentist 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843 2008-04-08
1275663916 John Robert Wallace Physical Therapist 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 2007-03-06
1346379161 John G Wallace Psychiatry & Neurology 17515 N Park Pl N, Shoreline, WA 98133-4803 2007-03-05
1841359775 John Thomas Wallace Chiropractor 3314 Us Highway 431, Albertville, AL 35950 2006-12-06
1316038839 John Kline Wallace Dentist 2501 Princess Anne St, Fredericksburg, VA 22401-3333 2006-09-28

Office Location

Street Address 2664 HARTFORD HWY
City DOTHAN
State AL
Zip Code 36305-4904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487695458 Allan Jeffrey Kelley Ophthalmology 2664 Hartford Hwy, Dothan, AL 36305-4904 2006-06-09
1275978850 William Timothy Gannon Ophthalmology 2664 Hartford Hwy, Dothan, AL 36305-4904 2013-05-08
1669648879 Eye Surgical Associates P C Ophthalmology 2664 Hartford Hwy, Dothan, AL 36305-4904 2008-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962059998 Samantha Nicole Bolden Counselor 1001 John D. Odom Road, Dothan, AL 36305 2019-08-23
1578968780 Aba Therapy & Consulting Services Behavioral Analyst 3124 West Main Street, Suite 9, Dothan, AL 36305 2014-10-30
1306247796 Tracey Lynn Carter Registered Nurse 4300 W Main St Ste 102, Dothan, AL 36305 2014-09-04
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1033495221 Professional Resource Management of Wiregrass, LLC Psychiatry & Neurology 2812 Hartford Hwy Ste 1, Dothan, AL 36305 2011-11-01
1649555483 Ashley Dawn Morrow Pharmacist 2940 West Main Street, Dothan, AL 36305 2011-10-12
1740599273 Aline M Mays-easley Counselor 309 Ameris Ave, Dothan, AL 36305 2010-10-01
1356671408 Kimberly Jones Rogers Clinical Neuropsychologist 200 Grove Park Ln Ste 212, Dothan, AL 36305 2010-01-12
1639347818 Southeast Alabama Counseling & Behavioral Specialist Residential Treatment Facility, Emotionally Disturbed Children 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 2008-02-11
1770705667 Michala Long Pharmacist 3850 West Main St, Dothan, AL 36305 2007-05-02
Find all providers in zip 36305

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457878662 Theron Wayne Wells Jr. Ophthalmology 207 Asphodel Dr, Dothan, AL 36303-2984 2017-08-28
1568616977 Kirk Alexander Sturridge Ophthalmology 5937 W Main St, Dothan, AL 36305-9317 2008-11-12
1437234051 Aaron B Mckinley Ophthalmology 1450 Ross Clark Cir Ste 100, Dothan, AL 36301-4770 2006-10-25
1396776944 Andrew F Dannemann Ophthalmology 1909 Honeysuckle Rd, Suite 2, Dothan, AL 36305-4289 2006-07-05
1598794273 Marnix E Heersink Ophthalmology 2800 Ross Clark Circle, Dothan, AL 36301 2006-07-03
1487695458 Allan Jeffrey Kelley Ophthalmology 2664 Hartford Hwy, Dothan, AL 36305-4904 2006-06-09
1962484790 Warren A Thompson Ophthalmology 160 Healthwest Dr, Dothan, AL 36303-1996 2005-11-17
1538154968 Joseph Hare Sugg Jr. Ophthalmology 1750 W Main St, Dothan, AL 36301-1318 2005-09-12
1467458497 Paul Mitchell Ophthalmology 2800 Ross Clark Cir, Dothan, AL 36301-2040 2005-06-23
1740752021 Eye Partners, PC Ophthalmology 151 W Main St, Dothan, AL 36301-1625 2018-12-26
Find all providers in DOTHAN

Competitor

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City DOTHAN
Zip Code 36305

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Dataset Information

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.

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