| Dr Wilson King Wallace, MD | |
|
2750 Indian River Blvd, Vero Beach, FL 32960-5225 | |
| (772) 569-9500 | |
| (772) 569-9507 |
| Full Name | Dr Wilson King Wallace |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 2750 Indian River Blvd, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598754053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME18644 (Florida) | Primary |
| Entity Name | Florida Eye Institute Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053356337 PECOS PAC ID: 7618979808 Enrollment ID: O20070131000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wilson King Wallace, MD 2750 Indian River Blvd, Vero Beach, FL 32960-5225 Ph: (772) 569-9500 | Dr Wilson King Wallace, MD 2750 Indian River Blvd, Vero Beach, FL 32960-5225 Ph: (772) 569-9500 |
William J. Mallon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3500 Us Highway 1, Vero Beach, FL 32960 Phone: 772-299-1404 Fax: 772-299-1455 | |
Dr. Paul Victor Minotty, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1055 37th Pl, Vero Beach, FL 32960 Phone: 772-257-8700 Fax: 772-257-8705 | |
Dr. Roger John Meyer, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1055 37th Pl, Vero Beach, FL 32960 Phone: 772-257-8700 Fax: 772-257-8705 | |
Dr. Shaun Francis Swindler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2750 Indian River Blvd, Vero Beach, FL 32960 Phone: 772-569-9500 | |
Dr. Edward S Branigan Iii, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 70 Royal Palm Pt, Suite A, Vero Beach, FL 32960 Phone: 772-569-6600 Fax: 772-569-5341 | |
Robert D Holmstrom, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4675 28th Ct, Vero Beach, FL 32967 Phone: 772-770-5151 Fax: 772-770-5166 |