Chris Wallace, INC

NPI #1396975074 in Edmonds, Washington

Provider Information

NPI Number: 1396975074
Entity Type: Organization
Organization Name: Chris Wallace, INC
Primary Specialty: Optometrist
Enumeration Date: Jul 16, 2009
Last Updated: Jul 16, 2009

Practice Location

Address: 8624-202ND STREET SW
City: Edmonds
State: Washington
ZIP Code: 98026-6644
Phone: (206) 419-7400

Authorized Official

Name: DR. CHRISTOPHER SHAWN WALLACE, O.D.
Title: PRESIDENT
Phone: (206) 419-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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