East Memphis Optometry Professional Association

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION

Practice address

5182 Sanderlin Ave Ste 5
Memphis, TN 38117-4354

Phone

(901) 683-4529

Fax

(901) 767-4404

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Landon J Wallace, ODNPI 1639481906

Title

President

Phone

(901) 683-4529

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Landon J Wallace OD Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Landon J Wallace, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1639481906
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1659559490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 SANDERLIN AVE STE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174354",
            "telephone_number": "901-683-4529",
            "fax_number": "901-767-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 SANDERLIN AVE STE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174354",
            "telephone_number": "901-683-4529",
            "fax_number": "901-767-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-683-4529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639481906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landon J Wallace OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Memphis Dental Group
• East Memphis Electrogardiographers Association, LLC
• East Memphis Healthcare, PLLC
• East Memphis Neonatology Associates P.C
• East Memphis Neurology Clinic PLLC
• East Memphis Pet Imaging, LLC
• East Memphis Therapy Center
• East Memphis Urgent Medical Clinic PC
• East Memphis Urology Center, LP
• Thomas Scott Easterday, MD

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.