DR. JAMILA SHANI WALLACE OD
NPI 1033798079
Optometrist in South Pasadena, CA
About Dr. Jamila Shani Wallace Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMILA SHANI WALLACE OD (NPI 1033798079) is an individual optometrist in South Pasadena, California, licensed in California (34793) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jamila Shani Wallace Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jamila Wallace's NPI number?
The NPI number for Jamila Wallace is 1033798079. It was assigned to this individual provider in the NPPES registry on April 6, 2021.
Where is Jamila Wallace located?
Jamila Wallace practices at 1103 Fair Oaks Ave, South Pasadena, CA 91030. The listed phone number is (626) 441-0770.
What is Jamila Wallace's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jamila Wallace enrolled in Medicare?
Yes. Jamila Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Jamila Wallace accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jamila Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jamila Wallace was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.