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

Dr. Jason Wallace, OD

Individual provider Optometrist · NPI 1689751166

Dr. Jason Wallace, OD is an Optometry in Celebration, Florida. Graduated from Indiana University - School of Optometry in 2006, 20 years ago. Practices with Christine Y Blick OD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Trained at
Indiana University - School of Optometry
Licensed in
FL
In the registry since
2006
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

502 Celebration Ave
Celebration, FL 34747-4687
Phone: (407) 566-8505
Fax: (407) 566-8253
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC4182 (FL)

Record details

NPI number1689751166
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 8, 2017
Mailing address1921 Varick Way, Casselberry, FL 32707-2410

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Christine Y Blick Od Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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