Dr Wallissa Lancelin, OD - Optometrist in Fort Worth, TX

Dr Wallissa Lancelin, OD is a Optometrist based in Fort Worth, Texas. Dr Wallissa Lancelin is licensed to practice in Texas (license number 9812TG) and her current practice location is 5700 Overton Ridge Blvd, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at (817) 668-6852.

NPI number for Dr Wallissa Lancelin is 1093269284 and her current mailing address is 101 Tobiano Trce, Brock, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093269284.

Contact Information

Dr Wallissa Lancelin, OD
5700 Overton Ridge Blvd,
Fort Worth, TX 76132-3220
(817) 668-6852
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Wallissa Lancelin
GenderFemale
SpecialityOptometrist
Location5700 Overton Ridge Blvd, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093269284
  • Provider Enumeration Date: 08/05/2016
  • Last Update Date: 10/22/2023

Medical Identifiers

Medical identifiers for Dr Wallissa Lancelin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093269284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1819-753AT (Louisiana)Secondary
152W00000XOptometrist 9812TG (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wallissa Lancelin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Wallissa Lancelin, OD
101 Tobiano Trce,
Brock, TX 76087-6748

Ph: (337) 578-1830
Dr Wallissa Lancelin, OD
5700 Overton Ridge Blvd,
Fort Worth, TX 76132-3220

Ph: (817) 668-6852

Reviews and Comments


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