MRS. TAMMY D. WALLACE (O.D.) – Optometrist, NPI 1134356645

MRS. TAMMY D. WALLACE (O.D.) is a healthcare provider. based in Ozark, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S-C02 (AL). The NPI Number for MRS. TAMMY D. WALLACE (O.D.) is 1134356645

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMMY D. WALLACE (O.D.)
NPI
1134356645
Phone
(334) 445-3937
Address
1234 ANDREWS AVE
Enumeration Date
11 June 2009
Last Update Date
2 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3345662020
Graduation Year
2009 (17 years ago)
PAC ID
3870617863
Group Practice PAC ID
0749254001
Professional Enrollment ID
I20100827000197
Address ID
AL360813823TR606XXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

620 OPTOMETRY in AL

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Provider Addresses for MRS. TAMMY D. WALLACE (O.D.)

  • 1234, West Andrews Avenue, Pleasant Hill, Ozark, Dale County, Alabama, 36360, United States

    SUITE E

    OZARK, AL 363603767

    Phone: (334) 445-3937

    Fax: (334) 445-3938

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($46).

Total Amount

$89

General + Research + Ownership

Payments

3

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1020 days ago).

Enrollment records

1

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100827000197IOptometryAL2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens4,42632$0
99214Established patient office or other outpatient visit, 30-39 minutes204202$0
92250Photography of the retina198197$0
92014Established patient complete exam of visual system137135$0
92134Imaging of retina8383$0
View full utilization report →

Insurance plans in this area (ZIP 36360)

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Provider's Procedures

MRS. TAMMY D. WALLACE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAL92012Eye and medical examination for diagnosis and treatment, established patient278164

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749254001View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
-MO
O P T O M E T R YAL
O P T O M E T R YIL
-AL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YMO
O P T O M E T R YAL

Reviews

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Frequently asked questions

What is MRS. TAMMY D. WALLACE (O.D.)'s NPI number?
MRS. TAMMY D. WALLACE (O.D.)'s NPI is 1134356645 — the number used across U.S. healthcare to identify this provider.
Is MRS. TAMMY D. WALLACE (O.D.) still an active registrant?
MRS. TAMMY D. WALLACE (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with MRS. TAMMY D. WALLACE (O.D.)?
MRS. TAMMY D. WALLACE (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. TAMMY D. WALLACE (O.D.)?
Directory geography for MRS. TAMMY D. WALLACE (O.D.) centers on Ozark, Alabama.
When was this NPI issued?
Enumeration for MRS. TAMMY D. WALLACE (O.D.) is noted as June 11, 2009 where the registry provides it.

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