DR. WILSON KING WALLACE (MD) – Ophthalmology Physician, NPI 1598754053

DR. WILSON KING WALLACE (MD) is a healthcare provider. based in Vero beach, Florida. specializing in Ophthalmology Physician. They hold the professional credentials MD. They hold a License No. ME18644 (FL). The NPI Number for DR. WILSON KING WALLACE (MD) is 1598754053

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILSON KING WALLACE (MD)
NPI
1598754053
Phone
(772) 569-9500
Address
2750 INDIAN RIVER BLVD
Enumeration Date
18 October 2005
Last Update Date
14 April 2010

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7725699500
Graduation Year
1967 (59 years ago)
PAC ID
9436252467
Group Practice PAC ID
7618979808
Professional Enrollment ID
I20070319000479
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WILSON KING WALLACE (MD)

  • Florida Eye Institute, 2750, Indian River Boulevard, Vero Beach, Indian River County, Florida, 34960, United States

    VERO BEACH, FL 329605225

    Phone: (772) 569-9500

    Fax: (772) 569-9507

    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 6 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: ABBVIE INC. ($146).

Total Amount

$221

General + Research + Ownership

Payments

6

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

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: 2007-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20070319000479IOphthalmologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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
99214Established patient office or other outpatient visit, 30-39 minutes171157$0
92014Established patient complete exam of visual system138133$0
99213Established patient office or other outpatient visit, 20-29 minutes10988$0
92133Imaging of optic nerve8781$0
68761Closure of tear duct opening using plug5527$0
View full utilization report →

Insurance plans in this area (ZIP 32960)

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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: 7618979808View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YIN
O P T O M E T R YFL
O P H T H A L M O L O G YFL
-FL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Where can patients find DR. WILSON KING WALLACE (MD)'s NPI?
You can confirm DR. WILSON KING WALLACE (MD) with NPI 1598754053; it appears in the national provider directory.
Is DR. WILSON KING WALLACE (MD)'s NPI currently valid?
The extract we use shows DR. WILSON KING WALLACE (MD) as active.
What field does DR. WILSON KING WALLACE (MD) work in?
You can think of DR. WILSON KING WALLACE (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. WILSON KING WALLACE (MD)?
The snapshot lists Vero Beach, Florida for DR. WILSON KING WALLACE (MD); download NPPES for the complete set.
What if Vero Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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