Dr Lisa G Wallace-davis, OD - Medicare Optometrist in Hampton, VA

Dr Lisa G Wallace-davis, OD is a medicare enrolled "Optometrist" provider in Hampton, Virginia. She went to Pennsylvania College Of Optometry and graduated in 1992 and has 32 years of diverse experience with area of expertise as Optometry. Her current practice location is 1134 Big Bethel Rd, Hampton, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 827-6612.

Dr Lisa G Wallace-davis is licensed to practice in Virginia (license number 0618000303) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1356373914.

Contact Information

Dr Lisa G Wallace-davis, OD
1134 Big Bethel Rd,
Hampton, VA 23666-1906
(757) 827-6612
(757) 827-6296

Map and Direction




Healthcare Provider's Profile

Full NameDr Lisa G Wallace-davis
GenderFemale
SpecialityOptometry
Experience32 Years
Location1134 Big Bethel Rd, Hampton, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa G Wallace-davis attended and graduated from Pennsylvania College Of Optometry in 1992
  NPI Data:
  • NPI Number: 1356373914
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 12/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2365410925
  • Enrollment ID: I20040921000946

Medical Identifiers

Medical identifiers for Dr Lisa G Wallace-davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356373914NPI-NPPES
0618000303OtherVASTATE LICENSE
009232583MedicaidVA
541786245OtherTAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0618000303 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lisa G Wallace-davis allows following entities to bill medicare on her behalf.
Provider NameWal-dav Incorporated
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962540534
PECOS PAC ID: 8022280536
Enrollment ID: O20111005000471

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. Dr Lisa G Wallace-davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lisa G Wallace-davis, OD
1134 Big Bethel Rd,
Hampton, VA 23666-1906

Ph: (757) 827-6612
Dr Lisa G Wallace-davis, OD
1134 Big Bethel Rd,
Hampton, VA 23666-1906

Ph: (757) 827-6612

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.