Individual
DR. SHAUNE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2210 IDAHO ST, ELKO, NV 89801-2643
(775) 738-6727
Mailing address
2210 IDAHO ST, ELKO, NV 89801-2643
(775) 738-6727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
931
NV
Other
Enumeration date
09/21/2006
Last updated
02/06/2026
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