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

Dr. Jamila Shani Wallace, OD

Individual provider Optometrist · NPI 1033798079

Dr. Jamila Shani Wallace, OD is an Optometrist in South Pasadena, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1103 Fair Oaks Ave
South Pasadena, CA 91030-3311
Phone: (626) 441-0770
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34793 (CA)

Record details

NPI number1033798079
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

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