Walley Wellness PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WALLEY WELLNESS PLLC

Practice address

358 New Byhalia Rd
Ste 3
Collierville, TN 38017-3743

Phone

(601) 850-3874

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By 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

Brandon Wayne Walley, ODNPI 1508027277

Title

Owner

Phone

(601) 850-3874

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Brandon W Walley, O.D.

  • Optometrist
  • Collierville, TN
  • NPI 1508027277
  Authorized official Same address or phone
• Phillip Adam Gray, O. D.

  • Optometrist
  • Iuka, MS
  • NPI 1518980051
  NPD (past)

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1730624370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 NEW BYHALIA RD",
            "address_2": "STE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 NEW BYHALIA RD",
            "address_2": "STE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173743",
            "telephone_number": "601-850-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLEY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-850-3874",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #06212)
• Nia Walker, RBT
• Tracy R Walker, CRNA
• Walter S Walker, D.C.
• Mark Alan Wallace, DC
• Brandon W Walley, O.D.
• Jessica Wang, DDS
• Earnicia Washington, D.C.
• Abby Watts
• Justin Christopher Welch, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.