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Deactivated NPI 1154498574 Deactivated / Inactive NPI Male Practitioner

Dr. Wayne E Wall , OD

Optometrist • Sheboygan, WI

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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. Wayne Wall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date July 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Wall, OD was a registered Optometrist practicing in Sheboygan, WI. Throughout an active medical career spanning 12 years, Dr. Wall provided care at the practice location at 1337 NO TAYLOR DR until profile deactivation on 2018-07-25.

Practice Location & Contact Primary Location

Practice Address

1337 No Taylor Dr
Ste 202

Sheboygan, WI 530813012

Telephone 9204525213
Fax 9204525213
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sheboygan, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Sheboygan, WI (1196 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 WI 1326

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

1 Associated Practitioners
NPI 1528127180

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 25, 2018

Record deactivated on July 25, 2018

NPI Profile Active November 27, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 27, 2012

Registered at 1337 NO TAYLOR DR, STE 202, SHEBOYGAN, WI 530813012 (Tel: 9204525213)

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Updated Business Mailing Address November 27, 2012

Registered at 1337 NO TAYLOR DR, STE 202, SHEBOYGAN, WI 530813012 (Tel: 9204525213)

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Provider Name / Credentials Updated November 27, 2012

Recorded as WAYNE WALL, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2012

Optometrist (License #1326 in WI)

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Initial NPI Registration & Enumeration November 29, 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: 1154498574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: November 27, 2012
Deactivation Date: July 25, 2018

Mailing Address

1337 No Taylor Dr, Ste 202

Sheboygan, WI 530813012

Phone: 9204525213

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.