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

Dr. John K Wallace, MD

Individual provider Ophthalmology Physician · NPI 1992735302

Dr. John K Wallace, MD is an Ophthalmology in Dothan, Alabama. Graduated from University of Mississippi School of Medicine in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
47
Trained at
University of Mississippi School of Medicine
Licensed in
AL
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

2664 Hartford Hwy
Dothan, AL 36305-4904
Phone: (334) 699-2244
Fax: (334) 699-2245
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 00013178 (AL)

Record details

NPI number1992735302
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2006
Last updated in NPPESMarch 22, 2010
Mailing address2664 Hartford Hwy, Dothan, AL 36305-4904

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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