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Active NPI 1285675827 Individual Practitioner Male Practitioner

Dr. James Winchester Wallace , OD

Optometrist • Delavan, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Wallace, OD is a certified Optometrist practicing in Delavan, WI. With approximately 38 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1988, Dr. Wallace delivers high-quality medical care to the local community at 1450 E GENEVA ST.

Dr. Wallace is affiliated with Shoptikal Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1450 E Geneva St

Delavan, WI 531152025

Telephone 2627280068
Fax 2627280055
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Delavan, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +9.0 yrs vs City Avg
City Avg: 29.0 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Delavan, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (38 Years) 38 Yrs
Delavan Specialty Average (29.0 Years) 29.0 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
13 13 $65.23 $64.43

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 2267

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
3857500 (WI)

Hospital & Practice Group Affiliations

Shoptikal Llc

6000 Monona Dr, Monona, WI 537163329

Phone: 6082229420

Shoptikal Llc

1741 E Geneva St, Delavan, WI 531152048

Phone: 2627280068

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1144659285

Registered Pharmacist

Gary Dean

Pharmacist

NPI 1407286271
NPI 1588614549

Doctor of Optometry

NPI 1972835106

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1450 E GENEVA ST, DELAVAN, WI 531152025 (Tel: 2627280068)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1450 E GENEVA ST, DELAVAN, WI 531152025 (Tel: 2627280068)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES WALLACE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2267 in WI)

🟢
Initial NPI Registration & Enumeration June 08, 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: 1285675827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1450 E Geneva St

Delavan, WI 531152025

Phone: 2627280068

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.