Individual provider · Type 1 NPI

Gary Wayne Wallace, MD

Ophthalmology Physician · Idaho Falls, ID

NPI number 1144335290 Active

Practice location

2295 Coronado Street
Idaho Falls, ID 83404

Fax (208) 524-8394

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician Primary 207W00000XM-6226 (ID)

Ophthalmology Physician: 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,…

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About NPI 1144335290

Gary Wayne Wallace, MD's National Provider Identifier is 1144335290, issued on Aug 20, 2006. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Idaho Falls, ID. The record was last updated on May 26, 2011.