| Dr Shaune Wallace, OD | |
|
1657 Mountain City Hwy Ste 101, Elko, NV 89801-2809 | |
| (775) 738-6727 | |
| Not Available |
| Full Name | Dr Shaune Wallace |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 20 Years |
| Location | 1657 Mountain City Hwy Ste 101, Elko, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467550335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 931 (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sg Optical Llc | 6204995954 | 2 |
| Provider Name | Prichett Eye Care Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679889372 PECOS PAC ID: 1052390655 Enrollment ID: O20040716000968 |
| Provider Name | Sg Optical Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649485483 PECOS PAC ID: 6204995954 Enrollment ID: O20100615000256 |
| Provider Name | B. Michael Southam, Od, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235550146 PECOS PAC ID: 7911138417 Enrollment ID: O20140326001695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaune Wallace, OD 1657 Mountain City Hwy Ste 101, Elko, NV 89801-2809 Ph: (775) 738-6727 | Dr Shaune Wallace, OD 1657 Mountain City Hwy Ste 101, Elko, NV 89801-2809 Ph: (775) 738-6727 |
Dr. Thomas David Gall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 | |
Vision Consultants Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2850 Ruby Vista Dr, Elko, NV 89801 Phone: 775-375-8869 | |
Dr. Micah Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 | |
Lincoln Bangerter, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1657 Mountain City Hwy Ste 101, Elko, NV 89801 Phone: 775-738-6727 | |
Dr. Spencer James Mcconkie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 | |
Dr. Kurt G Alleman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 |