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

John W Wallace Jr., LDO

Individual provider Optician · NPI 1730551730

John W Wallace Jr., LDO is an Optician in North Randall, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
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Practice location Address checks out

4840 Northfield Rd
North Randall, OH 44128-4524
Phone: (216) 475-2160
Fax: (216) 475-2161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 6310S (OH)

Record details

NPI number1730551730
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedOctober 29, 2015
Last updated in NPPESOctober 29, 2015

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