Dr. Gary Wayne Wallace is a Idaho Falls, Idaho based male Ophthalmologist with 31 years of experience in Ophthalmology. He completed his graduation from Baylor College Of Medicine in 1993. He is also affiliated with hospitals like Blue Mountain Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gary Wayne Wallace is M-6226 for Ophthalmology in Idaho. Dr. Gary Wayne Wallace is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Gary Wayne Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
31+ years
Medical School Attended:
Baylor College Of Medicine
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2295 Coronado Street, Idaho Falls, Idaho, 83404
Phone:
208-524-8600
Fax:
208-524-8394
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294649794
Enrollment ID:
I20120329000757
NPI Number:
1144335290
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
26 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gary Wayne Wallace are as mentioned below.
License Number
Specialization
State
Status
M-6226
Ophthalmology
Idaho
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Blue Mountain Hospital (461310)
Blanding, UT
Critical Access Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gary Wayne Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000010001884
Other
Idaho
REGENCE BLUE SHIELD
002797900
Medicaid
Idaho
J4449
Other
Idaho
BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2295 Coronado Street, Idaho Falls, Idaho
Zip:
83404
Phone Number:
208-524-8600
Fax Number:
208-524-8394
Patients can reach Dr. Gary Wayne Wallace at 2295 Coronado Street, Idaho Falls, Idaho or can call to book an appointment on 208-524-8600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.