P Praxis·MD
● Active Type 1 · Individual

DR. Stephen Glenn Waller, MD

Ophthalmology·Lackland A F B, TX· NPI 1629057609 · Enumerated 2006 · 20 years on NPI
Waller is 1 of 2 ophthalmology providers in Lackland A F B and 1 of 2155 in Texas.
NPI age
20 years
Enumerated 2006-01-10
Primary specialty
Ophthalmology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 2155 active ophthalmology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
2200 Bergquist Dr, Suite 1
Lackland A F B, TX 782369907
📞 2102926583
Mailing address
232 College Blvd
Alamo Heights, TX 782094517
📞 2108295575

Specialties

  • Ophthalmology Primary
    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...
    TX license #M0303 taxonomy 207W00000X

Practice context

Part of a multi-provider practice. 124 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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