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Deactivated NPI 1568485175 Deactivated / Inactive NPI Male Practitioner

Dr. Gary R. Wallace , MD

Ophthalmology • Lexington, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2006
NPI Deactivation Date March 02, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Wallace, MD was a registered Ophthalmology practicing in Lexington, KY. Throughout an active medical career spanning 12 years, Dr. Wallace provided care at the practice location at 100 N EAGLE CREEK DR until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

100 N Eagle Creek Dr

Lexington, KY 405091805

Telephone 8592585310
Fax 8592585328
Associated Practice Facility / Clinic
🏢 New Lexington Clinic, Psc Facility NPI 1821283011

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
59 Specialists

Practicing in Lexington, KY (265 Statewide)

Telehealth Adoption Rate
1.7% 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

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 14531

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1003832866

Doctor of Medicine (M.D.)

NPI 1043232192

Doctor of Medicine (M.D.)

NPI 1093968026

Doctor of Medicine (M.D.)

NPI 1215961669

Doctor of Medicine (M.D.)

NPI 1841879442

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2007

Registered at 100 N EAGLE CREEK DR, LEXINGTON, KY 405091805 (Tel: 8592585310)

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Updated Business Mailing Address November 02, 2007

Registered at 100 N EAGLE CREEK DR, LEXINGTON, KY 405091805 (Tel: 8592585310)

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Provider Name / Credentials Updated November 02, 2007

Recorded as GARY WALLACE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Ophthalmology (License #14531 in KY)

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Initial NPI Registration & Enumeration July 25, 2006

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: 1568485175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: November 02, 2007
Deactivation Date: March 02, 2018

Mailing Address

100 N Eagle Creek Dr

Lexington, KY 405091805

Phone: 8592585310

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.