| NPI | 1982667051 |
|---|---|
| Doing Business As | WALLACE EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | TOM R WALLACE Owner/Ophthalmologist 501-624-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2248) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR C4653) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |