Individual
CAITLIN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
175 INTERCHANGE RD, LEHIGHTON, PA 18235-2824
(610) 349-9445
Mailing address
4386 MAPLE DR, WALNUTPORT, PA 18088-9715
(610) 390-0752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4459AT
OR
152W00000X
Optometrist
Primary
OEG003808
PA
Other
Enumeration date
07/03/2019
Last updated
03/24/2025
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