Melodie K. Wallace, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3539T Issued in TX

Legal business name

MELODIE K. WALLACE, O.D.

Doing business as

Family Eye Care

Practice address

17700 N US Highway 281
Suite #136
San Antonio, TX 78232-1404

Phone

(210) 494-3146

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melodie Kay Wallace, O.D.NPI 1124147954

Title

Owner

Phone

(210) 494-3146

Specialties & licenses 1

Addresses

Other names 1

• Family Eye Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melodie Kay Wallace, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1124147954
  NPD (past) Authorized official

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1609115039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 N US HIGHWAY 281",
            "address_2": "SUITE #136",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321404",
            "telephone_number": "210-494-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 N US HIGHWAY 281",
            "address_2": "SUITE #136",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321404",
            "telephone_number": "210-494-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODIE K. WALLACE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-494-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3539T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randi Mellon, DDS
• George Melnik, PHARM.D.
• Estefania Melo, MD
• Jairo A Melo, M.D.
• Sebastian Melo, M.D.
• Charles M Melton, DPM
• Debra Melton
• George B Melton, DDS
• Peter Michael Melton, LMT, MMT
• Stephanie Melton

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.