NPI 1285675827

James Winchester Wallace, OD

Practitioner Optometrist Delavan, WI

Practice location

Address: 1450 E Geneva St, Delavan, WI 53115-2025
Phone: (262) 728-0068
Fax: (262) 728-0055

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2267 (WI)

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Registry record

NPI: 1285675827
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.