Individual provider · Type 1 NPI
Larry Charles Wallis, OD
Optometrist · Gloucester City, NJ
Practice location
14 N Broadway
Gloucester City, NJ 08030-1507
Fax (856) 456-4748
Mailing address
PO Box 93, 14 N Broadway
Gloucester City, NJ 08030-0093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist Primary | 152W00000X | 270A00350300 (NJ) |
| Optometrist | 152W00000X | 27T000023300 (NJ) |
Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…
Another provider at this address
About NPI 1821083585
Larry Charles Wallis, OD's National Provider Identifier is 1821083585, issued on Sep 19, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Gloucester City, NJ. The record was last updated on Oct 30, 2007.