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

Melodie Kay Wallace, OD

Individual provider Optometrist · NPI 1124147954

Melodie Kay Wallace, OD is an Optometrist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
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

17700 San Pedro Ave Ste 136
San Antonio, TX 78232-1404
Phone: (210) 494-3146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3539 (TX)

Record details

NPI number1124147954
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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