Individual provider · Type 1 NPI

Caitlin Wallace, OD

Optometrist · Denver, CO

NPI number 1639731250 Active

Practice location

200 Quebec St Ste 107
Denver, CO 80230-7144

Fax (720) 644-8850

Mailing address

4386 Maple Dr
Walnutport, PA 18088-9715

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000X4459AT (OR)
Optometrist Primary 152W00000XOEG003808 (PA)

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 1639731250

Caitlin Wallace, OD's National Provider Identifier is 1639731250, issued on Jul 3, 2019. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Denver, CO. The record was last updated on Oct 30, 2026.