Tina Marie Wallace, - Optometrist in Hauppauge, NY

Tina Marie Wallace, is a Optometrist - Vision Therapy based in Hauppauge, New York. Tina Marie Wallace is licensed to practice in New York (license number 82685981) and her current practice location is 1363 Veterans Memorial Hwy Ste 8, Hauppauge, New York. She can be reached at her office (for appointments etc.) via phone at (631) 366-3876.

NPI number for Tina Marie Wallace is 1285271254 and her current mailing address is 124 South Path, Calverton, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285271254.

Contact Information

Tina Marie Wallace,
1363 Veterans Memorial Hwy Ste 8,
Hauppauge, NY 11788-3046
(631) 366-3876
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTina Marie Wallace
GenderFemale
SpecialityOptometrist - Vision Therapy
Location1363 Veterans Memorial Hwy Ste 8, Hauppauge, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285271254
  • Provider Enumeration Date: 12/09/2019
  • Last Update Date: 12/09/2019

Medical Identifiers

Medical identifiers for Tina Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285271254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WV0400XOptometrist - Vision Therapy 82685981 (New York)Primary

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. Tina Marie 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 AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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