National Provider Identifier Database

WALLACE OPTICIANS INC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

WALLACE OPTICIANS INC
3040 VINE ST
LANSING, MI48912
Phone: 517-332-8628
Fax: 517-332-5504
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for WALLACE OPTICIANS INC

NPI Number 1700960416
Legal business name
LBN
WALLACE OPTICIANS INC
Authorized official JACK WALLACE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 900C36325 BCBS

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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