Wallace Eye Surgery, Ltd

NPI #1679511679 in Alexandria, Louisiana

Provider Information

NPI Number: 1679511679
Entity Type: Organization
Organization Name: Wallace Eye Surgery, Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Jun 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4110 PARLIAMENT DR
City: Alexandria
State: Louisiana
ZIP Code: 71303-2717
Phone: (318) 448-4488

Authorized Official

Name: DR. ROBERT BRUCE WALLACE III, MD
Title: MEDICAL DIRECTOR
Phone: (318) 448-4488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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