Dr. Lisa G. Wallace-davis

OD | Optometrist | 32+ years Exp


  
1134 Big Bethel Rd, Hampton
Virginia, 23666-1906

 757-827-6612     757-827-6296Maps & Directions
Dr. Lisa G. Wallace-davis is a Hampton, Virginia based female Optometrist with 32 years of experience in Optometry. She completed her graduation from Pennsylvania College Of Optometry in 1992. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Lisa G. Wallace-davis is 0618000303 for Optometry in Virginia.
Dr. Lisa G. Wallace-davis 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. She 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. She 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. Lisa G. Wallace-davis 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: OD
Experience: 32+ years
Medical School Attended:Pennsylvania College Of Optometry
Graduation Year:1992
Gender:Female
Accepts Medicare Assignment:May Accept
Practice Address:1134 Big Bethel Rd, Hampton,
Virginia, 23666-1906
Phone:757-827-6612
Fax:757-827-6296
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: 2365410925
Enrollment ID: I20040921000946
NPI Number: 1356373914
NPI Enumeration Date: 06 Jul, 2006
NPI Last Update On: 15 Dec, 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. Lisa G. Wallace-davis are as mentioned below.
License NumberSpecializationStateStatus
0618000303Optometry VirginiaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa G. Wallace-davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0618000303OtherVirginiaSTATE LICENSE
009232583MedicaidVirginia
541786245OtherTAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1134 Big Bethel Rd,
Hampton, Virginia
Zip: 23666-1906
Phone Number: 757-827-6612
Fax Number: 757-827-6296
Patients can reach Dr. Lisa G. Wallace-davis at 1134 Big Bethel Rd, Hampton, Virginia or can call to book an appointment on 757-827-6612. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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