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Active NPI 1649315920 Individual Practitioner Male Practitioner

Kirk D Wallis , RDO

Technician/Technologist - Optician • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Kirk Wallis, RDO is a registered healthcare professional specializing in Technician/Technologist - Optician in Lancaster, CA. Practice services are available at 44407 10TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

44407 10th St W

Lancaster, CA 935343345

Telephone 6619426515
Fax 6617239293
Associated Practice Facility / Clinic
🏢 Sonus-Usa, Inc. Facility NPI 1649378340

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lancaster, CA (356 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License CA 6273

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ZZZ35826Z (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1548572340

Doctor of Optometry

NPI 1588998512

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2012

Registered at 44407 10TH ST W, LANCASTER, CA 935343345 (Tel: 6619426515)

📍
Updated Business Mailing Address September 18, 2012

Registered at 44407 10TH ST W, LANCASTER, CA 935343345 (Tel: 6619426515)

👤
Provider Name / Credentials Updated September 18, 2012

Recorded as KIRK WALLIS, R.D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2012

Technician/Technologist (License #6273 in CA)

🟢
Initial NPI Registration & Enumeration February 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649315920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: September 18, 2012
Sole Proprietor: Yes

Mailing Address

44407 10th St W

Lancaster, CA 935343345

Phone: 6619426515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.