DR. STEPHEN GLENN WALLER MD
NPI 1629057609
Ophthalmology in Lackland A F B, TX

NPI Status: Active since January 10, 2006

Contact Information

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236
Phone: (210) 292-6583

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  • Individual
  • Male
  • Ophthalmology

About STEPHEN WALLER

This page provides the complete NPI Profile along with additional information for Stephen Waller, a provider established in Lackland A F B, Texas with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1629057609 assigned on January 2006. The practitioner's primary taxonomy code is 207W00000X with license number M0303 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1629057609
Provider Name
DR. STEPHEN GLENN WALLER MD
Gender
Male
Entity Type
Individual
Location Address
2200 BERGQUIST DR SUITE 1 LACKLAND A F B, TX 78236
Location Phone
(210) 292-6583
Mailing Address
232 COLLEGE BLVD ALAMO HEIGHTS, TX 78209
Mailing Phone
(210) 829-5575
Is Sole Proprietor?
Yes
Enumeration Date
01-10-2006
Last Update Date
07-08-2007
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Ophthalmologists like Stephen Waller specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
M0303
License State
TX
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629057609
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649051460
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 5 + 1 + 4 + 6 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1629057609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386638567DR. CRAIG EUGENE JORDAN PH.D.
Individual
Audiologist (Assistive Technology Practitioner)2200 BERGQUIST DR SUITE 1
LACKLAND A F B, TX 78236
(210) 536-2940
1194710665DR. CRAIG J CHRISTENSON D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)2200 BERGQUIST DR SUITE 1
LACKLAND A F B, TX 78236
(210) 292-7395
1194710053DR. JOHN WILLIAM HULTQUIST DMD, MD
Individual
Dentist (Oral and Maxillofacial Surgery)2200 BERGQUIST DR SUITE 1
LACKLAND A F B, TX 78236
(210) 292-5044
1053308528DR. MONTY TIMOTHY BAKER PH.D.
Individual
Psychologist (Clinical)2200 BERGQUIST DR STE. 1, LIFE SKILLS SUPPORT CENTER, 59 MDOS MMCM
LACKLAND A F B, TX 78236
(210) 292-7361
1396723763 CHARLES EDWIN HULSHOF LCSW
Individual
Social Worker (Clinical)2200 BERGQUIST DR SUITE 1 ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-6707
1821076266DR. WILLIAM BRIAN PERRY MD
Individual
Colon & Rectal Surgery2200 BERGQUIST DR ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-6707
1376521716DR. CARLA ANNE BEECHIE M.D.
Individual
Pediatrics2200 BERGQUIST DR ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-3432
1912985375DR. ROBERT KARL KLEPAC PH.D.
Individual
Psychologist (Clinical)2200 BERGQUIST DR ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-5949
1578541934DR. THOMAS RICHARD SCHNEID D.M.D., M.S.
Individual
Dentist (Prosthodontics)2200 BERGQUIST DR SUITE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-6707
1275511495DR. JAMES STERLING LINDEMUTH DDS
Individual
Dentist (General Practice)2200 BERGQUIST DR SUITE 1
LACKLAND A F B, TX 78236
(210) 292-6345
1154309367DR. JULIE MICHELLE STOREY PH.D.
Individual
Psychologist (Clinical)2200 BERGQUIST DR SUITE 1, ATTN CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-6707
1154309482MS. MYSTI MOORE PT
Individual
Physical Therapist2200 BERGQUIST DR ATTENTION CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-2095
1043298375DR. LOUIS D. ELDREDGE M.D.
Individual
Preventive Medicine (Aerospace Medicine)2200 BERGQUIST DR ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 536-6931
1437138450 PATTI DALE WHCNP
Individual
Nurse Practitioner (Women's Health)2200 BERGQUIST DR ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-6152
1861471823 BETH A. EWING CNM, WNNP
Individual
Advanced Practice Midwife2200 BERGQUIST DR SUITE 1, ATTN CREDENTIALS
LACKLAND A F B, TX 78236
(210) 292-6206
1366421083DR. CHARLES A STULGA D.C.
Individual
Chiropractor2200 BERGQUIST DR STE. 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-3715
1043299696DR. ALEX A DEPERALTA JR. D.D.S.
Individual
Dentist (General Practice)2200 BERGQUIST DR SUITE 1
LACKLAND A F B, TX 78236
(210) 292-7876
1467431528DR. DON ALLEN LAWRENCE D.O
Individual
Family Medicine2200 BERGQUIST DR ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
(210) 292-6707
1639159734DR. DAVID FRANKLIN MURCHISON DDS, MMS
Individual
Dentist (General Practice)2200 BERGQUIST DR ATTN: CREDENTIALS (CMC), SUITE 1
LACKLAND AFB, TX 78236
(210) 292-6280
1780664391DR. JAMES EARL JOHNSON JR. M.D.
Individual
Anesthesiology2200 BERGQUIST DR SUITE 1
LACKLAND AFB, TX 78236
(210) 292-7956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629057609, enumerated in the NPI registry as an "individual" on January 10, 2006

The provider is located at 2200 Bergquist Dr Suite 1 Lackland A F B, Tx 78236 and the phone number is (210) 292-6583

The provider's speciality is Ophthalmology with taxonomy code 207W00000X

This NPI record was last updated on January 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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