| NPI | 1174802631 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-08-15 |
| Last Updated | 2020-03-25 |
| Authorized Official | August Wallace Doctor/Owner Phone: 9036632020 |
| Mailing Address | 3032 N Eastman Rd Ste 100 Longview, TX 75605-5024 United States Phone: (903) 663-2020 | Fax: (903) 663-2353 📍 View Map |
| Primary Practice Address | 3032 N Eastman Rd Ste 100 Longview, TX 75605-5024 United States Phone: (903) 663-2020 | Fax: (903) 663-2353 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | TX | T07660 |
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About NPI 1174802631
Amwallace, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174802631. The primary specialty listed is Optometrist. The organization is located in Longview, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-08-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174802631?
NPI 1174802631 belongs to Amwallace, Llc, a Optometrist in Longview, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174802631 active?
The current status of NPI 1174802631 in the NPPES registry is Active. The record was last updated on 2020-03-25.
What specialty is NPI 1174802631?
NPI 1174802631 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174802631?
You can verify NPI 1174802631 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174802631?
The primary practice address on file for NPI 1174802631 is 3032 N Eastman Rd Ste 100, Longview, TX 75605-5024. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174802631 issued?
NPI 1174802631 was first issued (enumerated) on 2011-08-15. The NPPES record was last updated on 2020-03-25.
Practice Location Map
Amwallace, Llc is located at 3032 N Eastman Rd Ste 100, Longview, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Amwallace, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174802631. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | T07660 | TX |