MELODIE KAY WALLACE O.D.
NPI 1124147954
Optometrist in San Antonio, TX

Q: What is Melodie Wallace's NPI number?

The NPI number for Melodie Wallace is 1124147954. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Melodie Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melodie Wallace was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since March 29, 2007

17700 SAN PEDRO AVE, SUITE 136, SAN ANTONIO, TX 78232(210) 494-3146 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melodie Kay Wallace O.d. NPPES

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

MELODIE KAY WALLACE O.D. (NPI 1124147954) is an individual optometrist in San Antonio, Texas, licensed in Texas (3539) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1124147954

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMELODIE KAY WALLACECredential: O.D.

Location Address17700 SAN PEDRO AVE, SUITE 136San Antonio, TX 78232-1404

Mailing Address17700 N Us Highway 281 Ste 136San Antonio, TX 78232-1405 · (210) 494-3146 · Fax (210) 402-3537

Phone(210) 494-3146

Sole ProprietorYes

Enumeration DateMarch 29, 2007

Last NPPES UpdateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1124147954 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 TX · 3539

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.

17700 SAN PEDRO AVE, San Antonio, TX 78232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

KIMBERLY HANYSAK

Dentist (Orthodontics and Dentofacial Orthopedics)

17700 SAN PEDRO AVE, SUITE 320
SAN ANTONIO, TX 78232

Bexar County (210) 495-6255

MODERN DENTAL PROFESSIONALS SAN ANTONIO PC

Dentist

17700 SAN PEDRO AVE, SUITE 320
SAN ANTONIO, TX 78232

Bexar County (210) 495-6255

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 Melodie Wallace's NPI number?

The NPI number for Melodie Wallace is 1124147954. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Melodie Wallace located?

Melodie Wallace practices at 17700 San Pedro Ave Suite 136, San Antonio, TX 78232. The listed phone number is (210) 494-3146.

What is Melodie Wallace's specialty?

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

What insurance does Melodie Wallace accept?

Health plans from 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 list Melodie 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 Melodie Wallace was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.