| Caitlin Wallace, OD | |
|
175 Interchange Rd, Lehighton, PA 18235-2824 | |
| (610) 349-9445 | |
| Not Available |
| Full Name | Caitlin Wallace |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 6 Years |
| Location | 175 Interchange Rd, Lehighton, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639731250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4459AT (Oregon) | Secondary |
| 152W00000X | Optometrist | OEG003808 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independence Corporation | 0749351005 | 11 |
| Provider Name | Independence Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972549657 PECOS PAC ID: 0749351005 Enrollment ID: O20080616000088 |
| Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Wallace, OD 4386 Maple Dr, Walnutport, PA 18088-9715 Ph: (610) 390-0752 | Caitlin Wallace, OD 175 Interchange Rd, Lehighton, PA 18235-2824 Ph: (610) 349-9445 |
Independence Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 92 Blakeslee Boulevard Dr E, Lehighton, PA 18235 Phone: 610-379-9445 Fax: 610-379-9447 | |
Dr. Cheryl L Marinchak, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 158 Mall Rd, Lehighton, PA 18235 Phone: 610-377-8585 Fax: 610-377-8586 | |
Dr. Tinaya Marie Neeb, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 S 9th St, Lehighton, PA 18235 Phone: 484-464-7065 |