Wallace M Handeland, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

601000770 Issued in VA

Practice address

4217 Virginia Beach Blvd
Virginia Beach, VA 23452-1232

Phone

(757) 340-7070

Fax

(757) 340-7500

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert Seim OD, PC

  • Optometrist
  • Virginia Beach, VA
  • NPI 1801903745
  NPD (past)
• Adirondack Healthcare Associates, LLC

  • Internal Medicine Physician
  • Peru, NY
  • NPI 1306869672
  NPD (past)
• Adirondack Medical Practice LLC

  • Internal Medicine Physician
  • Peru, NY
  • NPI 1518136001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1598740581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521232",
            "telephone_number": "757-340-7070",
            "fax_number": "757-340-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521232",
            "telephone_number": "757-340-7070",
            "fax_number": "757-340-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDELAND",
        "first_name": "WALLACE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "601000770",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "601000770",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "VA",
            "license": "601000770",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "VA",
            "license": "601000770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "184237",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID CORP",
            "identifier": "51-0558604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1801903745",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-3020-3",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Lyane Hancock, CPHT
• Hand & Heart LLC
• Hand Associates, P.C.
• Hand N Heart
• April Hand-Cameron, LPC
• Hands on Home Care
• Handsonrehab, PLLC
• Courtney Alexis Haney, BEHAVIOR TECHNICIAN
• Hang 10 Drips LLC
• David Hankins

• Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.