Dr. James Winchester Wallace is a Delavan, Wisconsin based male Optometrist with 36 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1988. 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. James Winchester Wallace is 2267 for Optometry in Wisconsin. Dr. James Winchester Wallace examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. James Winchester 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:
Optometry
Credentials:
O.D.
Experience:
36+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1450 E Geneva St, Delavan, Wisconsin, 53115-2025
Phone:
262-728-0068
Fax:
262-728-0055
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:
9830102706
Enrollment ID:
I20060718000251
NPI Number:
1285675827
NPI Enumeration Date:
08 Jun, 2006
NPI Last Update On:
08 Jul, 2007
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. James Winchester Wallace are as mentioned below.
License Number
Specialization
State
Status
2267
Optometry
Wisconsin
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. James Winchester Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Shoptikal Llc (1456684471)
135
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. James Winchester Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3857500
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1450 E Geneva St, Delavan, Wisconsin
Zip:
53115-2025
Phone Number:
262-728-0068
Fax Number:
262-728-0055
Patients can reach Dr. James Winchester Wallace at 1450 E Geneva St, Delavan, Wisconsin or can call to book an appointment on 262-728-0068. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.