Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Wayne Wallace, MD

Individual provider Ophthalmology Physician · NPI 1144335290

Dr. Gary Wayne Wallace, MD is an Ophthalmology in Idaho Falls, Idaho. Graduated from Baylor College of Medicine in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
33
Trained at
Baylor College of Medicine
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2295 Coronado St
Idaho Falls, ID 83404
Phone: (208) 524-8600
Fax: (208) 524-8394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence M-6226 (ID)

Record details

NPI number1144335290
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESMay 26, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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