Individual provider · Type 1 NPI

Stephen Glenn Waller, MD

Ophthalmology Physician · Lackland A F B, TX

NPI number 1629057609 Active

Practice location

2200 Bergquist Dr, Suite 1
Lackland A F B, TX 78236-9907

Mailing address

232 College Blvd
Alamo Heights, TX 78209-4517

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician Primary 207W00000XM0303 (TX)

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 1629057609

Stephen Glenn Waller, MD's National Provider Identifier is 1629057609, issued on Jan 10, 2006. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 13, 2026.