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Active NPI 1467550335 Individual Practitioner Male Practitioner

Dr. Shaune Wallace , OD

Optometrist • Elko, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shaune Wallace, OD is a certified Optometrist practicing in Elko, NV. With approximately 20 years of clinical experience since graduating from Southern California College Of Optometry in 2006, Dr. Wallace delivers high-quality medical care to the local community at 2210 IDAHO ST.

Dr. Wallace is affiliated with Sg Optical Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2210 Idaho St

Elko, NV 898012643

Telephone 7757386727
Associated Practice Facility / Clinic
🏢 Sg Optical Llc Facility NPI 1649485483

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Elko, NV

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +3.8 yrs vs City Avg
City Avg: 16.2 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Elko, NV (562 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (20 Years) 20 Yrs
Elko Specialty Average (16.2 Years) 16.2 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
115 114 $153.00 $123.68
92250 Photography of the retina
99 98 $100.00 $35.94
92004 New patient complete exam of visual system
58 58 $160.86 $143.58
66984 Removal of cataract with insertion of lens
31 17 $300.00 $102.98
99213 Established patient office or other outpatient visit, typically 15 minutes
26 17 $115.56 $89.10

Medical Specialties & State Licenses

CMS Verified: 2026-02-06
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NV 931

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.

Hospital & Practice Group Affiliations

Sg Optical Llc

1657 Mountain City Hwy, Elko, NV 898012809

Phone: 7757386727

Practice Associates & Co-Workers

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

2 Associated Practitioners
Sean Fericks , OPTICIAN

Technician/Technologist - Optician

NPI 1134240443
NPI 1225878887

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 06, 2026

Registered at 2210 IDAHO ST, ELKO, NV 898012643 (Tel: 7757386727)

📍
Updated Business Mailing Address February 06, 2026

Registered at 2210 IDAHO ST, ELKO, NV 898012643 (Tel: 7757386727)

📍
Updated Practice Location June 06, 2023

Registered at 1657 MOUNTAIN CITY HWY STE 101, ELKO, NV 898012809 (Tel: 7757386727)

📍
Updated Business Mailing Address June 06, 2023

Registered at 1657 MOUNTAIN CITY HWY STE 101, ELKO, NV 898012809 (Tel: 7757386727)

👤
Provider Name / Credentials Updated June 06, 2023

Recorded as SHAUNE WALLACE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2023

Optometrist (License #931 in NV)

NPI Profile Active August 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2007

Registered at 1100 CANYON VIEW DR STE G, SANTA CLARA, UT 847655672 (Tel: 4356743502)

📍
Updated Business Mailing Address August 13, 2007

Registered at 1100 CANYON VIEW DR STE G, SANTA CLARA, UT 847655672 (Tel: 4356743502)

👤
Provider Name / Credentials Updated August 13, 2007

Recorded as SHAUNE WALLACE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2007

Optometrist (License #6300367-9934 in UT)

🟢
Initial NPI Registration & Enumeration September 21, 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: 1467550335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: February 06, 2026
Sole Proprietor: Yes

Mailing Address

2210 Idaho St

Elko, NV 898012643

Phone: 7757386727

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.