Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093269284 Individual Practitioner Female Practitioner

Dr. Wallissa Lancelin , OD

Optometrist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Wallissa Lancelin, OD is a registered healthcare professional specializing in Optometrist in Fort Worth, TX. Practice services are available at 5700 OVERTON RIDGE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5700 Overton Ridge Blvd

Fort Worth, TX 761323220

Telephone 8176686852
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy Inc. Facility NPI 1073535738

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
158 Specialists

Practicing in Fort Worth, TX (5156 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

CMS Verified: 2023-10-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 9812TG

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License LA 1819-753AT

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

5 Associated Practitioners
NPI 1346534435

Doctor of Pharmacy (Pharm.D.)

NPI 1457608994

Doctor of Pharmacy (Pharm.D.)

NPI 1598048795

Doctor of Pharmacy (Pharm.D.)

NPI 1639768013

Doctor of Pharmacy (Pharm.D.)

NPI 1932487204

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 22, 2023

Registered at 5700 OVERTON RIDGE BLVD, FORT WORTH, TX 761323220 (Tel: 8176686852)

📍
Updated Business Mailing Address October 22, 2023

Registered at 101 TOBIANO TRCE, BROCK, TX 760876748 (Tel: 3375781830)

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2016

Registered at 3437 MASONIC DR, VISIONWORKS @ALEXANDRIA MALL SHOPPING CENTER, ALEXANDRIA, LA 713013686 (Tel: 3184427711)

📍
Updated Business Mailing Address August 05, 2016

Registered at 14711 GRACI RD, FOLSOM, LA 704375017 (Tel: 3035204113)

👤
Provider Name / Credentials Updated August 05, 2016

Recorded as WALLISSA LANCELIN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Optometrist (License #1819-753AT in LA)

🟢
Initial NPI Registration & Enumeration August 05, 2016

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: 1093269284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2016
Last Update: October 22, 2023
Sole Proprietor: No

Mailing Address

101 Tobiano Trce

Brock, TX 760876748

Phone: 3375781830

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.