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Melodie Wallace, O.D.
NPI 1124147954 · Optometrist · San Antonio, TX
Melodie Wallace, O.D. is a Optometrist provider in San Antonio, TX (NPI 1124147954).
Provider details
- NPI number
- 1124147954
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3539 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17700 San Pedro Ave
Suite 136
San Antonio, TX 78232-1404
Phone: (210) 494-3146
Street-level locationGet directions
Mailing address
17700 N US Highway 281 Ste 136
San Antonio, TX 78232-1405
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Frequently asked questions
- What is Melodie Wallace's NPI number?
- Melodie Wallace's National Provider Identifier (NPI) is 1124147954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melodie Wallace's specialty?
- Melodie Wallace is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Melodie Wallace located?
- Melodie Wallace's practice location on file with NPPES is 17700 San Pedro Ave, San Antonio, TX 78232-1404.
- What is Melodie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Melodie Wallace is (210) 494-3146.
- Is Melodie Wallace's NPI active?
- Yes — Melodie Wallace's NPI (1124147954) is active in the NPPES registry as of the last update on 2026-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.