| NPI | 1659559490 |
|---|---|
| Doing Business As | LANDON J WALLACE OD |
| Entity Type | Organization |
| Authorized Contact | LANDON J WALLACE President 901-683-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2018-11-30 |