Individual provider · Type 1 NPI

Melodie Kay Wallace, OD

Optometrist · San Antonio, TX

NPI number 1124147954 Active

Practice location

17700 San Pedro Ave, Suite 136
San Antonio, TX 78232-1404

Call (210) 494-3146 Map

Mailing address

17700 N US Highway 281 Ste 136
San Antonio, TX 78232-1405

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	3539 (TX)

Optometrist: 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 e…

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About NPI 1124147954

Melodie Kay Wallace, OD's National Provider Identifier is 1124147954, issued on Mar 29, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in San Antonio, TX. The record was last updated on Feb 13, 2026.