Fred Wallace (NPI# 1497850085, PAC ID# 5294859674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1497850085 |
| PAC ID by PECOS | 5294859674 |
| Professional Enrollment ID | I20100928000340 |
| Full Name | Fred Wallace |
| Address |
1431 2nd Ave N Bessemer AL 35020-5608 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1982 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1431 2nd Ave N, Bessemer, AL 35020-5608 |
| Street Address |
1431 2ND AVE N |
| City | BESSEMER |
| State | AL |
| Zip | 35020-5608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon A Renaud | Optometry | 1511 4th Ave N, Bessemer, AL 35020-1284 | |
| Cynthia B Hobdy | Podiatry | 1721 4th Ave N, Bessemer, AL 35020-4838 | |
| Abiodun Pa Badewa | Family Medicine | 1007 9th Ave N, Bessemer, AL 35020-5311 | |
| Sandra Michele Quinn | Nurse Practitioner | American Family Care Inc | 1007 9th Ave N, Bessemer, AL 35020-5311 |
| Stewart Matthew Pierson | Podiatry | 811 10th N Ave, Bessemer, AL 35020-5320 | |
| Shane K Burchfield | Podiatry | 811 10th N Ave, Bessemer, AL 35020-5320 | |
| Keith Chesser | Diagnostic Radiology | Aris Radiology Professionals of Michigan PC | 112 Waverly Cir, Bessemer, AL 35020-6039 |
| Sue E Bullock | Clinical Social Worker | 985 9th Ave N, Suite 201, Bessemer, AL 35020-7810 |
| City | BESSEMER |
| Zip Code | 35020 |
| Specialty | OPTOMETRY |
| City + Specialty | BESSEMER + OPTOMETRY |
Please comment or provide details below to improve the information on Fred 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.