Wallace, August Michael
Wallace, August Michael is an individual health care provider with primary practice located at 3032 N Eastman Rd Ste 100 , Longview TX 75605-5024. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wallace, August Michael can be contacted via phone (903) 663-2020.Contact Information
Primary practice address
3032 N Eastman Rd Ste 100
Longview TX 75605-5024
Phone: (903) 663-2020
Fax: (903) 663-2353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7660 | Texas |
Profile Details
| NPI number | 1477750081 |
|---|---|
| LBN Legal business name | Wallace, August Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Sep 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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