Wallace Eye Clinic Optical Shop

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WALLACE EYE CLINIC OPTICAL SHOP

Practice address

211 McAuley CT
Hot Springs, AR 71913-6314

Phone

(501) 624-0609

Fax

(501) 624-6191

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Miss Gail Nanette Bryant

Title

Business Manger

Phone

(501) 624-0609

Specialties & licenses 1

Addresses

Other names 1

• Wallace Optical Shop Doing business as

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1831152800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136314",
            "telephone_number": "501-624-0609",
            "fax_number": "501-624-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136314",
            "telephone_number": "501-624-0609",
            "fax_number": "501-624-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE EYE CLINIC OPTICAL SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "NANETTE",
        "authorized_official_title_or_position": "BUSINESS MANGER",
        "authorized_official_telephone_number": "501-624-0609",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judge Walker IV
• Katelyn Walker, MHPP
• Kelsie Tamara Walker
• Melissa Walker, RRT
• Stephen Walker, MHPP
• Wallace W. Towle, OD PA
• Brandy Wallace, QBHP
• Fannie Beatrice Wallace, LPC
• Morgan Alita Wallace, LCSW
• Thomas R Wallace, M.D.

• Durable Medical Equipment & Medical Supplies in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.