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

Dr. Wallissa Lancelin, OD

Individual provider Optometrist · NPI 1093269284

Dr. Wallissa Lancelin, OD is an Optometrist in Fort Worth, Texas. Licensed in Louisiana and Texas. Registered with an NPI since 2016.

Licensed in
LA, TX
In the registry since
2016
Specialties on file
2
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

5700 Overton Ridge Blvd
Fort Worth, TX 76132-3220
Phone: (817) 668-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9812TG (TX)
Optometrist Taxonomy 152W00000X · Licence 1819-753AT (LA)

Record details

NPI number1093269284
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 5, 2016
Last updated in NPPESOctober 22, 2023
Certification dateOctober 22, 2023
Mailing address101 Tobiano Trce, Brock, TX 76087-6748

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