WALLACE EYE CLINIC OPTICAL SHOP NPI 1831152800

NPI Information

NPI: 1831152800
Provider Name: WALLACE EYE CLINIC OPTICAL SHOP
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Doing Business As: WALLACE OPTICAL SHOP
Address: 211 MCAULEY CT
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 624-0609

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NPI Details

WALLACE EYE CLINIC OPTICAL SHOP is a durable medical equipment medical supplies in Hot Springs, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WALLACE EYE CLINIC OPTICAL SHOP NPI is 1831152800. The provider is registered as an organization entity type.
The provider Is Doing Business As Wallace Optical Shop.

The provider's business location address is:

211 MCAULEY CT
HOT SPRINGS, AR
ZIP 71913-314
Phone: (501) 624-0609
Fax: (501) 624-6191

The provider's authorized official is Gail Nanette Bryant .
The authorized official title is Business Manger and has the following contact phone number (501) 624-0609.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 6/12/2008.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0749110001	MEDICARE NSC	DISTRICT OF COLUMBIA

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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