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Tina Marie Wallace
Vision Therapy Optometrist in Hauppauge, New York
NPI 1285271254

Tina Marie Wallace is a Vision Therapy Optometrist based in Calverton, NY and is specialized in Vision Therapy. Tina Marie Wallace practices in Hauppauge, NY. The NPI Number for Tina Marie Wallace is 1285271254 and holds a License No. 82685981 (New York).

The current practice location address for Tina Marie Wallace is 1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY and can be reached out via phone at 631-366-3876.

Location: 1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY, 11933-1135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285271254
Provider Name
Tina Marie Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY, 11933-1135
Phone Number
631-366-3876
Fax Number
Provider Enumeration Date
12/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1363 Veterans Memorial Hwy Ste 8
City
Hauppauge
State
New York
Zip
11788-3046
Phone Number
631-366-3876
Fax Number
person
Provider Business Mailing Address Details
Address
1363 Veterans Memorial Hwy Ste 8
City
Hauppauge
State
New York
Zip
11788-3046
Phone Number
631-366-3876
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Vision Therapy
Taxonomy
152WV0400X
License No.
82685981 (New York)
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
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