IndividualActive
Simone Wallace, OD
NPI 1912687179 · Optometrist · Orlando, FL
Simone Wallace, OD is a Optometrist provider in Orlando, FL (NPI 1912687179).
Provider details
- NPI number
- 1912687179
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPC6305 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3226 E Colonial Dr
Orlando, FL 32803-5110
Phone: (407) 203-5801
Street-level locationGet directions
Mailing address
462 N Terry Ave Apt 1214
Orlando, FL 32801-2069
Registry dates
- Enumerated
- 2023-07-24
- Last updated
- 2023-07-24
- Certified
- 2023-07-03
Frequently asked questions
- What is Simone Wallace's NPI number?
- Simone Wallace's National Provider Identifier (NPI) is 1912687179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simone Wallace's specialty?
- Simone Wallace is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Simone Wallace located?
- Simone Wallace's practice location on file with NPPES is 3226 E Colonial Dr, Orlando, FL 32803-5110.
- What is Simone Wallace's phone number?
- The practice phone number listed in the NPPES registry for Simone Wallace is (407) 203-5801.
- Is Simone Wallace's NPI active?
- Yes — Simone Wallace's NPI (1912687179) is active in the NPPES registry as of the last update on 2023-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.