DR. DAVID WALLACH OD
NPI 1972717544
Optometrist in Jamaica, NY
About Dr. David Wallach Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID WALLACH OD (NPI 1972717544) is an individual optometrist in Jamaica, New York, licensed in New York (TUV004825) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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. David Wallach Od 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Wallach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamaica, NY 11432
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Flushing, NY 11367
- Reassigned Medicare billing, New York enrollment
Bay Shore, NY 11706
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Long Island Vision Optometry PC
- 4 clinicians in this Medicare group
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 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Wallach's NPI number?
The NPI number for David Wallach is 1972717544. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is David Wallach located?
David Wallach practices at 16820 Jamaica Ave, Jamaica, NY 11432. The listed phone number is (718) 739-5454.
What is David Wallach's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is David Wallach enrolled in Medicare?
Yes. David Wallach 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 David Wallach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Wallach reassigns Medicare benefits to 3 organizations: Jamaica Eye Care Center LLC (Jamaica, NY), Main Optical LLC (Flushing, NY) and Long Island Vision Optometry P.C. (Bay Shore, NY). 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 David Wallach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Wallach accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list David Wallach 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 David Wallach 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.
# Dr. David Wallach, OD · NPI 1972717544
Optometrist provider in Jamaica, New York. Individual provider, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1972717544 (Entity type: Individual)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV004825 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16820 JAMAICA AVE, Jamaica, NY 11432-5216
- **Phone:** (718) 739-5454 · **Fax:** (718) 526-1818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jamaica Eye Care Center LLC (NPI 1912466707, Jamaica, NY); Main Optical LLC (NPI 1003176603, Flushing, NY); Long Island Vision Optometry P.C. (NPI 1548635352, Bay Shore, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 1987
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN T89740 (NY); Medicare ID-Type Unspecified 26396 (NY); Medicaid 01178821 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1972717544) · Data from the CMS NPPES public registry.