WALLACE CHAN O.D.
NPI 1053360735
Optometrist in Chicago, IL

Active since May 09, 2006
2126A S ARCHER AVE, CHICAGO, IL 60616(312) 949-1888(312) 949-0288 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Wallace Chan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE CHAN O.D. (NPI 1053360735) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046-008575) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1053360735
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWALLACE CHANCredential: O.D.
Location Address2126A S ARCHER AVEChicago, IL 60616-1514
Mailing Address2126a S Archer AveChicago, IL 60616-1514 · (312) 949-1888 · Fax (312) 949-0288
Fax(312) 949-0288
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 11, 2008
NPI 1053360735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IL · 046-008575
Definition
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.
2126A S ARCHER AVE, Chicago, IL 60616

Other Identifiers 2

Medicare PINK18079IL
Medicaid046008575IL

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Point of Service
2126A S ARCHER AVE
CHICAGO, IL 60616

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 Wallace Chan's NPI number?

The NPI number for Wallace Chan is 1053360735. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Wallace Chan located?

Wallace Chan practices at 2126A S Archer Ave, Chicago, IL 60616. The listed phone number is (312) 949-1888.

What is Wallace Chan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Wallace Chan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Wallace Chan 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 Wallace Chan was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.