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DR. MICHAEL WALLACE O.D.
NPI 1689615346
Optometrist in Flushing, MI

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
1379 FLUSHING RD, FLUSHING, MI 48433(810) 659-3135(810) 659-0024 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Wallace O.d. NPPES

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

DR. MICHAEL WALLACE O.D. (NPI 1689615346) is an individual optometrist in Flushing, Michigan, licensed in Michigan (4901003070) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1986).

NPPES Registry Identity

NPI1689615346
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL WALLACECredential: O.D.
Location Address1379 FLUSHING RDFlushing, MI 48433-2262
Mailing Address1379 Flushing RdFlushing, MI 48433-2262 · (810) 659-3135 · Fax (810) 659-0024
Phone(810) 659-3135
Fax(810) 659-0024
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1986
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 7, 2009
✔ NPI 1689615346 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 MI · 4901003070
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.
1379 FLUSHING RD, Flushing, MI 48433
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Other Identifiers 9

Medicaid944885903MI
Medicare PIN4194781OH
Other900B566350MI · Bcbs Of Mi
Other900B514120MI · Blue Care Network
Medicare UPINU33233MI
Medicaid2678599OH
Medicare PINP31450001MI
Medicare PIN0N21210001MI
Medicare PINP00374947OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Wallace O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648207910
PECOS Enrollment IDI20050719001073, I20230718001691
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Michael Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Flushing Vision Clinic PC
Same address
Optometrist
1379 FLUSHING RD
Flushing, MI 48433
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1295782720 (810) 659-3135
E Gay Eye Care PLLC
38 mi
Optometrist
3050 UNION LAKE RD STE 3B
Commerce Township, MI 48382
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1730600602 (248) 716-3130
Southeast Alaska Regional Health Consortium
2,251 mi
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group
NPI 1518403906 (907) 874-4700
Tanana Chiefs Conference
2,841 mi
Multi-Specialty
1717 W COWLES ST
Fairbanks, AK 99701
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1821201278 (907) 451-6682
Norton Sound Health Corporation
3,361 mi
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1225101041 (Alaska)
  • 193 clinicians in this Medicare group
NPI 1154358232 (907) 443-3311

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

FLUSHING VISION CLINIC PC
Optometrist
1379 FLUSHING RD
FLUSHING, MI 48433
Genesee County (810) 659-3135
HOWARD FOOTE O.D.
Optometrist
1379 FLUSHING RD
FLUSHING, MI 48433
Genesee County (810) 659-3135
HEARING PROFESSIONALS OF AMERICA LLC
Hearing Aid Equipment
1379 FLUSHING RD
FLUSHING, MI 48433
Genesee County (888) 612-1267
BREANNA RENEE MARSHALL O.D.
Optometrist
1379 FLUSHING RD
FLUSHING, MI 48433
Genesee County (810) 659-3135

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 Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1689615346. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Michael Wallace located?

Michael Wallace practices at 1379 Flushing Rd, Flushing, MI 48433. The listed phone number is (810) 659-3135.

What is Michael Wallace's specialty?

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

Is Michael Wallace enrolled in Medicare?

Yes. Michael Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wallace reassigns Medicare benefits to 5 organizations: Flushing Vision Clinic PC (Flushing, MI), E Gay Eye Care PLLC (Commerce Township, MI), Southeast Alaska Regional Health Consortium (Edna Bay, AK), Tanana Chiefs Conference (Fairbanks, AK) and Norton Sound Health Corporation (Nome, AK). Each 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 Michael Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 15 other insurers list Michael 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 Michael Wallace was last updated on May 7, 2009. 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.