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Contact Information

CHRIS WALLACE, INC
8624-202ND STREET SW
EDMONDS, WA98026-6644
 Phone: 206-419-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHRIS WALLACE INC · (Female)

NPI # 1396975074
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2009
Last updated 07/16/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # OD 00003752
  • AK Medicaid OD 5342
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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