DR. CHRISTOPHER SHAWN WALLACE (O.D.) – Optometrist, NPI 1790859528

DR. CHRISTOPHER SHAWN WALLACE (O.D.) is a healthcare provider. based in Edmonds, Washington. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. AK 201 (AK). The NPI Number for DR. CHRISTOPHER SHAWN WALLACE (O.D.) is 1790859528

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER SHAWN WALLACE (O.D.)
NPI
1790859528
Phone
(206) 419-7400
Address
8624 202ND ST SW
Enumeration Date
20 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4257747723
Graduation Year
2002 (24 years ago)
PAC ID
3779637558
Group Practice PAC ID
5294625356
Professional Enrollment ID
I20090812000901
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. CHRISTOPHER SHAWN WALLACE (O.D.)

  • 8624, 202nd Street Southwest, Edmonds, Snohomish County, Washington, 98026, United States

    EDMONDS, WA 980266644

    Phone: (206) 419-7400

    Type: Mailing

  • 8745, Glacier Highway, Juneau, Alaska, 99801, United States

    SPACE 426

    JUNEAU, AK 998018029

    Phone: (907) 796-3937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Alcon Vision LLC ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$40
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: 2009-08-12

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
I20090812000901IOptometryWATBD

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
92014Established patient complete exam of visual system7575$0
99214Established patient office or other outpatient visit, 30-39 minutes5845$0
99212Established patient office or other outpatient visit, 10-19 minutes2520$0
92004New patient complete exam of visual system2222$0
92250Photography of the retina2120$0
View full utilization report →

Insurance plans in this area (ZIP 98026)

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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: 5294625356View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWI

Reviews

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Frequently asked questions

Does DR. CHRISTOPHER SHAWN WALLACE (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CHRISTOPHER SHAWN WALLACE (O.D.) uses 1790859528.
Can I rely on DR. CHRISTOPHER SHAWN WALLACE (O.D.) being an active provider?
As of the registry snapshot, DR. CHRISTOPHER SHAWN WALLACE (O.D.) is marked active.
What is DR. CHRISTOPHER SHAWN WALLACE (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. CHRISTOPHER SHAWN WALLACE (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. CHRISTOPHER SHAWN WALLACE (O.D.) based?
DR. CHRISTOPHER SHAWN WALLACE (O.D.) is tied to Edmonds, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.