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Active NPI 1689615346 Individual Practitioner Male Practitioner

Dr. Michael Wallace , OD

Optometrist • Flushing, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wallace, OD is a certified Optometrist practicing in Flushing, MI. With approximately 40 years of clinical experience since graduating from Ferris State College - College Of Optometry in 1986, Dr. Wallace delivers high-quality medical care to the local community at 1379 FLUSHING RD.

Dr. Wallace maintains professional affiliations with E Gay Eye Care Pllc, Southeast Alaska Regional Health Consortium and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1379 Flushing Rd

Flushing, MI 484332262

Telephone 8106593135
Fax 8106590024
Associated Practice Facility / Clinic
🏢 Flushing Vision Clinic Pc Facility NPI 1295782720

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Flushing, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +13.0 yrs vs City Avg
City Avg: 27.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Flushing, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (40 Years) 40 Yrs
Flushing Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
20 20 $316.10 $150.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $335.41 $160.72

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901003070

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
944885903 (MI)
Medicaid State Provider ID
2678599 (OH)
Commercial Insurance / Payer ID Blue Care Network
900B514120 (MI)
Commercial Insurance / Payer ID Bcbs Of Mi
900B566350 (MI)

Hospital & Practice Group Affiliations

E Gay Eye Care Pllc

23469 Michigan Ave, Dearborn, MI 481241908

Phone: 3135655600

Southeast Alaska Regional Health Consortium

1206 Seward Ave, Sitka, AK 998357359

Phone: 9079668611

Southeast Alaska Regional Health Consortium

222 Tongass Dr, Sitka, AK 998359416

Phone: 9079662411

Southeast Alaska Regional Health Consortium

1204 Seward Ave, Sitka, AK 998357359

Phone: 9079668611

Southeast Alaska Regional Health Consortium

1209 Seward Ave, Sitka, AK 998357359

Phone: 9079668611

Southeast Alaska Regional Health Consortium

227 Tongass Dr, Sitka, AK 998359416

Phone: 9079662411

Southeast Alaska Regional Health Consortium

131 1st S St, Haines, AK 998270389

Phone: 9077662521

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1346326071

Doctor of Optometry

NPI 1861757627

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 May 07, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2009

Registered at 1379 FLUSHING RD, FLUSHING, MI 484332262 (Tel: 8106593135)

📍
Updated Business Mailing Address May 07, 2009

Registered at 1379 FLUSHING RD, FLUSHING, MI 484332262 (Tel: 8106593135)

👤
Provider Name / Credentials Updated May 07, 2009

Recorded as MICHAEL WALLACE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2009

Optometrist (License #4901003070 in MI)

🟢
Initial NPI Registration & Enumeration June 10, 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: 1689615346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2006
Last Update: May 07, 2009
Sole Proprietor: No

Mailing Address

1379 Flushing Rd

Flushing, MI 484332262

Phone: 8106593135

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.