Duane J Wallaker Od
Duane J Wallaker Od is a healthcare organization registered as Optometrist in Austin, MN, holding Type 2 (organization) NPI 1487649489 since 2005. The authorized official on file is Duane Wallaker, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487649489 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Duane J Wallaker Od |
| Practice address | 510 W OAKLAND AVE, BOX 524, Austin, MN, 55912 |
| Phone | 5074374524 |
| Fax | 5074374525 |
| Enumeration date | 2005-09-15 |
| Last updated in NPPES | 2008-03-31 |
Authorized official
| Name | Duane Wallaker |
|---|---|
| Title | Owner |
| Phone | 5074374524 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 1294 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16412 | Other | — | UCARE MN |
| 0182820001 | Other | — | OMERC |
| 4C955WA | Other | MN | MN CARE |
| 2292129 | Other | — | MEDICA |
| 703023100 | Medicaid | MN | — |
| 32549WA | Other | MN | BLUE CROSS |
| 585541034950 | Other | — | PREF ONE |
Copy-ready billing details
Provider: Duane J Wallaker Od NPI: 1487649489 Taxonomy: 152W00000X (Optometrist) Address: 510 W OAKLAND AVE, BOX 524, Austin, MN, 55912
Verify this record
Cross-check NPI 1487649489 against the authoritative CMS record: view Duane J Wallaker Od on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Duane J Wallaker Od?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-31.