DR. Larry Charles Wallis OD

  • NPI 1821083585
According to our database, the NPI number for DR. Larry Charles Wallis OD is 1821083585 and activated since 18 years ago. DR. Larry Charles Wallis OD is an individual provider who specializes in Optometrist, and the primary practice location is 14 N Broadway, Gloucester City, NJ 08030. You can also contact DR. Larry Charles Wallis OD via telephone number is (856) 456-3925. Provider NPI information was last updated on 10/30/2007.

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Overview of DR. Larry Charles Wallis OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/19/2005
  • Last updated: 10/30/2007

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 27T000023300
  • License State: NJ

Provider Mailing Address

  • Address: Po Box 93
    14 N Broadway
    Gloucester City, NJ 08030
  • Phone: 856-456-3925
  • Fax: 856-456-4748

Provider Practice Location

  • Address: 14 N Broadway
    Gloucester City, NJ 08030
  • Phone: 856-456-3925
  • Fax: 856-456-4748

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 27T0000233
  • License State: NJ
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1695401
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NJ
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Larry Charles Wallis OD?
  • A: The npi number for DR. Larry Charles Wallis OD is 1821083585.
  • Q: What are DR. Larry Charles Wallis OD's specialties?
  • A: DR. Larry Charles Wallis OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Larry Charles Wallis OD?
  • A: The medical license number for DR. Larry Charles Wallis OD is 27T000023300 and issued in NJ in USA.
  • Q: Where is DR. Larry Charles Wallis OD practice location?
  • A: DR. Larry Charles Wallis OD is practicing at 14 N Broadway, Gloucester City, NJ 08030.
  • Q: How to contact DR. Larry Charles Wallis OD?
  • A: You can contact DR. Larry Charles Wallis OD via 856-456-3925.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Optometrist
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Sports Medicine
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