Active NPI
Crosby W Wallace, O.D.
- Optometrist
- Spring, TX
National Provider Identifier
1255460705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5527TG
- Practice address
- 6640 Cypresswood Dr Ste 105
Spring, TX 77379-7738 - Phone
- (832) 228-8218
- Fax
- (281) 602-8419
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5527TG | TX | Primary |
Addresses
Primary practice location
6640 Cypresswood Dr Ste 105
Spring, TX 77379-7738
Mailing address
6640 Cypresswood Dr
Ste 105
Spring, TX 77379-7738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5527TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1255460705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 CYPRESSWOOD DR",
"address_2": "STE 105",
"city": "SPRING",
"state": "TX",
"postal_code": "773797738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 CYPRESSWOOD DR STE 105",
"city": "SPRING",
"state": "TX",
"postal_code": "773797738",
"telephone_number": "832-228-8218",
"fax_number": "281-602-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "CROSBY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5527TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.