Landon J Wallace Od - Medicare Optometrist in Memphis, TN

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Landon J Wallace Od is a medicare enrolled "Optometrist" provider in Memphis, Tennessee. Their current practice location is 5118 Park Ave, Suite101, Memphis, Tennessee. You can reach out to their office (for appointments etc.) via phone at (901) 683-4529.

Landon J Wallace Od is licensed to practice in Tennessee (license number ) and it also participates in the medicare program. Landon J Wallace Od is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1659559490.

Contact Information

Landon J Wallace Od
5118 Park Ave, Suite101,
Memphis, TN 38117
(901) 683-4529
(901) 767-4404

Map and Direction




Healthcare Provider's Profile

Full NameLandon J Wallace Od
TypeFacility
SpecialityOptometrist
Location5118 Park Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659559490
  • Provider Enumeration Date: 02/04/2008
  • Last Update Date: 11/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9133253875
  • Enrollment ID: O20100817000144

Medical Identifiers

Medical identifiers for Landon J Wallace Od such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659559490NPI-NPPES
1639481906OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Landon J Wallace Od acts as a billing entity for following providers:
Provider NameLandon Jay Wallace
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639481906
PECOS PAC ID: 0547498081
Enrollment ID: I20140108001576

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. Landon J Wallace Od 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
Landon J Wallace Od
5118 Park Ave, Suite101,
Memphis, TN 38117-5720

Ph: (901) 683-4529		Landon J Wallace Od
5118 Park Ave, Suite101,
Memphis, TN 38117

Ph: (901) 683-4529

Reviews and Comments


Optometrist in Memphis, TN

Dr. Seth Aaron Salley, O.D.
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Phone: 901-365-9732    Fax: 901-375-9005
Dr. Azalia Rochelle Roach, OD
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Phone: 901-722-3319    Fax: 901-722-3394
Dr. Michael T Christensen, O.D.
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Practice Location: 1225 Madison Ave, Memphis, TN 38104
Phone: 901-722-3250    Fax: 901-722-3247

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.