IndividualActive
Christopher Wallace, O.D.
NPI 1790859528 · Optometrist · Juneau, AK
Provider details
- NPI number
- 1790859528
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- AK 201 (AK)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
8745 Glacier Hwy
Space 426
Juneau, AK 99801-8029
Phone: (907) 796-3937
Approximate (ZIP-level) locationGet directions
Mailing address
8624 202nd St Sw
Edmonds, WA 98026-6644
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.