| Tina Marie Wallace, | |
| 
					1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY 11788-3046  | |
| (631) 366-3876 | |
| Not Available | 
| Full Name | Tina Marie Wallace | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist - Vision Therapy | 
| Location | 1363 Veterans Memorial Hwy Ste 8, Hauppauge, New York | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285271254 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 82685981 (New York) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tina Marie Wallace, 124 South Path, Calverton, NY 11933-1135 Ph: (631) 831-6676  | Tina Marie Wallace, 1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY 11788-3046 Ph: (631) 366-3876  | 
Dr. Dina Marie Castagnino, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 536 Rte 111 Comp Usa Shopping Ctr, Davis Vision, Hauppauge, NY 11788 Phone: 631-265-4700 Fax: 631-265-7479  | |
Dr. Jennifer Zhenying Yang, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 536 Route 111, Comp Usa Shopping Center, Hauppauge, NY 11788 Phone: 631-265-4700 Fax: 631-265-4749  | |
Dr. Steven B Ressel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 536 Route 111, Hauppauge, NY 11788 Phone: 631-265-4700 Fax: 631-265-4749  | |
Dr. Erica Jean Shuder, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 536 Route 111, Hauppauge, NY 11788 Phone: 631-265-4700  | |
Dr. Joanne M Sciacca, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 536 Route 111, Davis Vision Compusa Shopping Center, Hauppauge, NY 11788 Phone: 631-265-4700 Fax: 631-265-4749  | |
Hauppauge Vision Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 Route 111, Hauppauge, Hauppauge, NY 11788 Phone: 631-979-0515 Fax: 631-979-6072  | |
Martin Joel Robertso, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 Route 111, Hauppauge, NY 11788 Phone: 631-979-0515 Fax: 631-979-6072  |