Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirk D Wallis, RDO

Individual provider Optician · NPI 1649315920

Kirk D Wallis, RDO is an Optician in Lancaster, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

44407 10th St W
Lancaster, CA 93534-3345
Phone: (661) 942-6515
Fax: (661) 723-9293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 6273 (CA)

Record details

NPI number1649315920
Entity typeIndividual (Type 1)
GenderMale
Credentials RDO
Sole proprietorYes
NPI enumeratedFebruary 21, 2007
Last updated in NPPESSeptember 18, 2012

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