Individual provider · Type 1 NPI

Larry Charles Wallis, OD

Optometrist · Gloucester City, NJ

NPI number 1821083585 Active

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

TaxonomyCodeLicense
Optometrist Primary 152W00000X270A00350300 (NJ)
Optometrist 152W00000X27T000023300 (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.