Larry B Wallace OD

  • NPI 1073545059
According to our database, the NPI number for Larry B Wallace OD is 1073545059 and activated since 17 years ago. Larry B Wallace OD is an individual provider who specializes in Low Vision Rehabilitation, and the primary practice location is 322 N Aurora St, Ithaca, NY 14850. You can also contact Larry B Wallace OD via telephone number is (607) 277-4749. Provider NPI information was last updated on 10/06/2010.

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Overview of Larry B Wallace OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/07/2006
  • Last updated: 10/06/2010

Primary Scrop of Practice

  • Taxonomy Code: 152WL0500X
  • Specialty: Low Vision Rehabilitation
  • License Number: VUT003212
  • License State: NY

Provider Mailing Address

  • Address: 322 N. Aurora St.
    Ithaca, NY 14850
  • Phone: 607-277-4749
  • Fax: 607-277-5216

Provider Practice Location

  • Address: 322 N Aurora St
    Ithaca, NY 14850
  • Phone: 607-277-4749
  • Fax: 607-277-5216

Scope of Practice

  • Taxonomy Code: 152WL0500X
  • Specialty: Low Vision Rehabilitation
  • License Number: VUT003212
  • License State: NY
  • Switch: No

Legacy Identifiers

  • Provider Identifier: T003212-1
  • Identifier Type: Other
  • Identifier State: NY
  • Issuer: NY STATE LICENSE

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 Larry B Wallace OD?
  • A: The npi number for Larry B Wallace OD is 1073545059.
  • Q: What are Larry B Wallace OD's specialties?
  • A: Larry B Wallace OD's specialties are Low Vision Rehabilitation and different specialities.
  • Q: What is the medical license for Larry B Wallace OD?
  • A: The medical license number for Larry B Wallace OD is VUT003212 and issued in NY in USA.
  • Q: Where is Larry B Wallace OD practice location?
  • A: Larry B Wallace OD is practicing at 322 N Aurora St, Ithaca, NY 14850.
  • Q: How to contact Larry B Wallace OD?
  • A: You can contact Larry B Wallace OD via 607-277-4749.