DR. STEPHEN GLENN WALLER MD NPI 1629057609

NPI Information

  • NPI: 1629057609
  • Provider Name: DR. STEPHEN GLENN WALLER, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 2200 BERGQUIST DR
    SUITE 1
    LACKLAND A F B, TX
    ZIP 78236
  • Phone: (210) 292-6583

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NPI Details

DR. Stephen Glenn Waller, MD is an ophthalmology in Lackland A F B, TX. The provider is 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, including glasses and contact lenses. DR. Stephen Glenn Waller, MD NPI is 1629057609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236-907
Phone: (210) 292-6583

The enumeration date for this NPI number is 1/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyM0303TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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