Dennis Jaye Wallace, OD is a
Optometrist based in Farmersville, California. Dennis Jaye Wallace is licensed to practice in California (license number OPT5964 TPA) and his current practice location is
662 East Visalia Road, Farmersville, California. He can be reached at his office (for appointments etc.) via phone at
(559) 747-3461.
NPI number for Dennis Jaye Wallace is 1699741777 and his current mailing address is 662 East Visalia Road, Po Box 475, Farmersville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699741777.
Healthcare Provider's Profile
| Full Name | Dennis Jaye Wallace |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 662 East Visalia Road, Farmersville, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699741777
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/13/2026
Medical Identifiers
Medical identifiers for Dennis Jaye Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699741777 | NPI | - | NPPES |
| 2868614 | Other | CA | MEDICAL PASSWORD |
| SD0059640 | Other | | BLUE SHIELD |
| SD0059641 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | OPT5964 TPA (California) | Primary |
| 152W00000X | Optometrist | 406OPT TPA (Montana) | Secondary |
| 152W00000X | Optometrist | OD00001112 (Washington) | Secondary |
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. Dennis Jaye Wallace 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 Address | Practice Location Address |
Dennis Jaye Wallace, OD 662 East Visalia Road, Po Box 475, Farmersville, CA 93223-0475 Ph: (559) 747-3461 | Dennis Jaye Wallace, OD 662 East Visalia Road, Farmersville, CA 93223 Ph: (559) 747-3461 |
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