Organization
AMWALLACE, LLC
Active
Other names
August Wallace Eyecare Associates, Texas State Optical Longview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUST MICHAEL WALLACE OD (DOCTOR/OWNER)
(903) 663-2020
Entity
Organization
Contact information
Practice address
3032 N EASTMAN RD STE 100, LONGVIEW, TX 75605-5024
(903) 663-2020
(903) 663-2353
Mailing address
3032 N EASTMAN RD STE 100, LONGVIEW, TX 75605-5024
(903) 663-2020
(903) 663-2353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T07660
TX
Other
Enumeration date
08/15/2011
Last updated
03/25/2020
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