Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STEPHEN GLENN WALLER MD
NPI 1629057609
Ophthalmology in Lackland A F B, TX

Q: What is Stephen Waller's NPI number?

The NPI number for Stephen Waller is 1629057609. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Stephen Waller's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Waller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 January 10, 2006

2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236(210) 292-6583 Get Directions Write a Review

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

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About Dr. Stephen Glenn Waller Md NPPES

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

DR. STEPHEN GLENN WALLER MD (NPI 1629057609) is an individual ophthalmology provider in Lackland A F B, Texas, licensed in Texas (M0303) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1629057609

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. STEPHEN GLENN WALLERCredential: MD

Location Address2200 BERGQUIST DR, SUITE 1Lackland A F B, TX 78236-9907

Mailing Address232 College BlvdAlamo Heights, TX 78209-4517 · (210) 829-5575

Phone(210) 292-6583

Sole ProprietorNo

Enumeration DateJanuary 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1629057609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · M0303

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2200 BERGQUIST DR, Lackland A F B, TX 78236

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Other Providers at the Same Location NPPES 20

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

DR. ALTON POWELL III MD

Preventive Medicine (Aerospace Medicine)

2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B, TX 78236

Bexar County (210) 292-6707

EMILY NELL PAVLIK MD

Emergency Medicine

2200 BERGQUIST DR, WILFORD HALL MED CTR, STE 1,DEPT. OF EMERGENCY MEDICINE
LACKLAND A F B, TX 78236

Bexar County (210) 292-7331

DR. BRIAN THOMAS CALLAHAN M.D.

Radiology (Diagnostic Radiology)

2200 BERGQUIST DR
LACKLAND A F B, TX 78236

Bexar County (210) 292-2205

DR. JAMES CLAUD CHAPMAN O.D.

Optometrist

2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236

Bexar County (210) 292-2651

DEREK KURT URBAN MD

Radiology (Diagnostic Radiology)

2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236

Bexar County (210) 292-6707

DR. DANIEL JAMES SMITH DMD

Dentist

2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236

Bexar County (210) 292-7749

DR. LOUIS D. ELDREDGE M.D.

Preventive Medicine (Aerospace Medicine)

2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236

Bexar County (210) 536-6931

DR. ALEX A DEPERALTA JR. D.D.S.

Dentist (General Practice)

2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236

Bexar County (210) 292-7876

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 Stephen Waller's NPI number?

The NPI number for Stephen Waller is 1629057609. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Stephen Waller located?

Stephen Waller practices at 2200 Bergquist Dr Suite 1, Lackland A F B, TX 78236. The listed phone number is (210) 292-6583.

What is Stephen Waller's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Stephen Waller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.