Austin Wallace, RSLD
Austin Wallace, RSLD is an Optician in Orange, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
2138 N Tustin StOrange, CA 92865-3712
Phone: (714) 450-4487
Fax: (714) 637-0020
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 5200 (CA) |
|---|
Record details
| NPI number | 1831754209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RSLD |
| Sole proprietor | No |
| NPI enumerated | May 1, 2019 |
| Last updated in NPPES | May 1, 2019 |
| Mailing address | 11605 N Lamar Blvd, Austin, TX 78753-2658 |
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