Dennis J Wallace (NPI# 1699741777, PAC ID# 2567434905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1699741777 |
PAC ID by PECOS | 2567434905 |
Professional Enrollment ID | I20040806001113 |
Full Name | Dennis J Wallace |
Address |
662 E Visalia Rd Farmersville CA 93223-1641 |
Phone Number | 5597473461 |
Gender | M |
Credential | OD |
Graduation Year | 1975 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
662 E Visalia Rd, Farmersville, CA 93223-1641 | 5597473461 |
Street Address |
662 E VISALIA RD |
City | FARMERSVILLE |
State | CA |
Zip | 93223-1641 |
Name | Specialty | Organization | Address |
---|---|---|---|
Max E Yankes | Internal Medicine | Family Healthcare Network | 730 N Farmersville Blvd, Farmersville, CA 93223-1220 |
Jessica A Camarena | Physician Assistant | County of Tulare | 660 E Visalia Rd, Farmersville, CA 93223-1641 |
Harish G Shah | Family Medicine | County of Tulare | 660 E Visalia Rd, Farmersville, CA 93223-1641 |
Guillenne Smith | Nurse Practitioner | County of Tulare | 660 E Visalia Rd, Farmersville, CA 93223-1641 |
City | FARMERSVILLE |
Zip Code | 93223 |
Specialty | OPTOMETRY |
City + Specialty | FARMERSVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Dennis J Wallace.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.