DR. ALLAN M WALLACE O.D.
NPI 1225045164
Optometrist in Fort Worth, TX

Q: What is Allan Wallace's NPI number?

The NPI number for Allan Wallace is 1225045164. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Allan 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 Allan Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 02, 2006

11803 SOUTH FRWY, SUITE 114, FORT WORTH, TX 76115(817) 551-5600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Allan M Wallace O.d. NPPES

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

DR. ALLAN M WALLACE O.D. (NPI 1225045164) is an individual optometrist in Fort Worth, Texas, licensed in Texas (2898TG) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1225045164

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ALLAN M WALLACECredential: O.D.

Location Address11803 SOUTH FRWY, SUITE 114Fort Worth, TX 76115

Mailing Address605 Steamboat CtArlington, TX 76006-3761 · (817) 551-5600

Phone(817) 551-5600

Sole ProprietorNo

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225045164 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 · 2898TG

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.

11803 SOUTH FRWY, Fort Worth, TX 76115

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Other Identifiers 1

Other00E37ETX · Bcbs

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 Allan Wallace's NPI number?

The NPI number for Allan Wallace is 1225045164. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Allan Wallace located?

Allan Wallace practices at 11803 South Frwy Suite 114, Fort Worth, TX 76115. The listed phone number is (817) 551-5600.

What is Allan Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Allan Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.