Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wallace Bullard Guerrant Jr., OD

Individual provider Optometrist · NPI 1982767364

Dr. Wallace Bullard Guerrant Jr., OD is an Optometry in Lexington, Kentucky. Graduated from Illinois College of Optometry at Chicago in 1991, 35 years ago. Practices with Angela Costa LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
35
Trained at
Illinois College of Optometry at Chicago
Licensed in
KY
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

3180 Richmond Rd
Lexington, KY 40509-1596
Phone: (859) 721-1827
Fax: (859) 335-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1214DT (KY)

Record details

NPI number1982767364
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESMarch 31, 2017

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1991 (35 years in practice)
Group practice Angela Costa Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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