Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730339714 Deactivated / Inactive NPI Male Practitioner

Dr. Duane J Wallaker , OD

Optometrist • Austin, MN

⚠️

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. Duane Wallaker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2008
NPI Deactivation Date April 13, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Duane Wallaker, OD was a registered Optometrist practicing in Austin, MN. Throughout an active medical career spanning 13 years, Dr. Wallaker provided care at the practice location at 200 14TH ST NW until profile deactivation on 2021-04-13.

Practice Location & Contact Primary Location

Practice Address

200 14th St Nw

Austin, MN 559124645

Telephone 5074373227
Fax 5074378070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Austin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Austin, MN (1178 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1294

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1093406464

Doctor of Optometry

NPI 1366000697

Doctor of Optometry

NPI 1427044916

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated April 13, 2021

Record deactivated on April 13, 2021

NPI Profile Active September 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2008

Registered at 200 14TH ST NW, AUSTIN, MN 559124645 (Tel: 5074373227)

📍
Updated Business Mailing Address September 25, 2008

Registered at 200 14TH ST NW, AUSTIN, MN 559124645 (Tel: 5074373227)

👤
Provider Name / Credentials Updated September 25, 2008

Recorded as DUANE WALLAKER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2008

Optometrist (License #1294 in MN)

🟢
Initial NPI Registration & Enumeration September 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Duane Wallaker. Be the first to share your experience!

Sign in to leave a review for Dr. Duane Wallaker

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1730339714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2008
Last Update: September 25, 2008
Deactivation Date: April 13, 2021

Mailing Address

200 14th St Nw

Austin, MN 559124645

Phone: 5074373227

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.