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

Dr. Landon J Wallace, OD

Individual provider Optometrist · NPI 1639481906

Dr. Landon J Wallace, OD is an Optometry in Memphis, Tennessee. Graduated from Southern College of Optometry in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
16
Trained at
Southern College of Optometry
Licensed in
TN
In the registry since
2010
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

5182 Sanderlin Ave Ste 5
Memphis, TN 38117-4354
Phone: (901) 683-4529
Fax: (901) 767-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2934 (TN)

Record details

NPI number1639481906
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 2, 2010
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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