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WALLACE EYE SURGERY, LTD
NPI 1679511679
Ophthalmology in Alexandria, LA

Active since June 02, 2006CLIA 19D2050894 · Waiver
4110 PARLIAMENT DR, ALEXANDRIA, LA 71303(318) 448-4488(318) 448-9731 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wallace Eye Surgery, Ltd NPPES

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

WALLACE EYE SURGERY, LTD (NPI 1679511679) is a healthcare organization registered as an ophthalmology in Alexandria, Louisiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Robert Bruce Wallace, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679511679
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameWALLACE EYE SURGERY, LTD
Location Address4110 PARLIAMENT DRAlexandria, LA 71303-2717
Mailing Address4110 Parliament DrAlexandria, LA 71303-2717 · (318) 448-4488 · Fax (318) 448-9731
Phone(318) 448-4488
Fax(318) 448-9731
Organization SubpartNo
Authorized OfficialRobert Bruce WallaceMedical Director · (318) 448-4488
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679511679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 012846
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.
4110 PARLIAMENT DR, Alexandria, LA 71303
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Other Identifiers 1

Medicaid1942006LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace Eye Surgery, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wallace Eye Surgery, Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Robert Crotty, O.D.
Optometry
NPI 1659364453
4110 PARLIAMENT DR
Alexandria, LA 71303
(318) 448-4488
✔ PECOS✔ Accepts MedicareSame address
Robert Wallace, M.D.
Ophthalmology
NPI 1598792293
4110 PARLIAMENT DR
Alexandria, LA 71303
(318) 448-4488
✔ PECOS✔ Accepts MedicareSame address
Phillip Carney, O.D.
Optometry
NPI 1306808811
4300 PARLIAMENT DR
Alexandria, LA 71303
(318) 448-0221
✔ PECOS✔ Accepts MedicareSame address
Nicholas Braud, MD
Ophthalmology
NPI 1093342768
6220 PERKINS RD
Baton Rouge, LA 70808
(225) 768-7777
✔ PECOS✔ Accepts Medicare101 mi
Thomas Stuckey, M.D.
Ophthalmology
NPI 1437177300
6220 PERKINS ROAD
Baton Rouge, LA 70808
(225) 768-7777
✔ PECOS✔ Accepts Medicare101 mi
George Ellis, M.D.
Ophthalmology
NPI 1700828613
200 HENRY CLAY AVE SUITE 3106
New Orleans, LA 70118
(504) 896-9426
✔ PECOS✔ Accepts Medicare169 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2050894

Wallace Eye Surgery · Alexandria, LA
Active · expires Dec 6, 2026
CLIA Number19D2050894
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorRobert T. Crotty
Laboratory Phone(318) 448-4488
Laboratory LocationWallace Eye Surgery4110 Parliament Drive, Alexandria, LA 71303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eye Surgery, Ltd's NPI number?

The NPI number for Wallace Eye Surgery, Ltd is 1679511679. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Wallace Eye Surgery, Ltd located?

Wallace Eye Surgery, Ltd is located at 4110 Parliament Dr, Alexandria, LA 71303. The listed phone number is (318) 448-4488.

What is Wallace Eye Surgery, Ltd's specialty?

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

Is Wallace Eye Surgery, Ltd enrolled in Medicare?

Yes. Wallace Eye Surgery, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wallace Eye Surgery, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Wallace Eye Surgery, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wallace Eye Surgery, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2050894) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wallace Eye Surgery, Ltd accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Wallace Eye Surgery, Ltd 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 Eye Surgery, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.