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

Wallace Chan, OD

Individual provider Optometrist · NPI 1053360735

Wallace Chan, OD is an Optometrist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
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

2126A S Archer Ave
Chicago, IL 60616-1514
Phone: (312) 949-1888
Fax: (312) 949-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046-008575 (IL)

Record details

NPI number1053360735
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESNovember 11, 2008
Mailing address2126a S Archer Ave, Chicago, IL 60616-1514

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