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

Individual provider Optometrist · NPI 1164421319

Wallace R Ryne, OD is an Optometry in Southlake, Texas. Graduated from University of Houston - College of Optometry in 1977, 49 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
49
Trained at
University of Houston - College of Optometry
Licensed in
TX
In the registry since
2005
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

1980 E Northwest Pkwy
Southlake, TX 76092-6510
Phone: (817) 329-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 02485TG (TX)

Record details

NPI number1164421319
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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