Dr. Larry Charles Wallis is a Gloucester City, New Jersey based male Optometrist who is specialized in Optometry. Active license number of Dr. Larry Charles Wallis is 270A00350300 for Optometry in New Jersey. Dr. Larry Charles Wallis 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Larry Charles Wallis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
14 N Broadway, Gloucester City, New Jersey, 08030-1507
Phone:
856-456-3925
Fax:
856-456-4748
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821083585
NPI Enumeration Date:
19 Sep, 2005
NPI Last Update On:
30 Oct, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Charles Wallis are as mentioned below.
License Number
Specialization
State
Status
270A00350300
Optometry
New Jersey
Primary
27T000023300
Optometry
New Jersey
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larry Charles Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1695401
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 93, 14 N Broadway Gloucester City, New Jersey
Zip:
08030-0093
Phone Number:
856-456-3925
Fax Number:
856-456-4748
Patients can reach Dr. Larry Charles Wallis at 14 N Broadway, Gloucester City, New Jersey or can call to book an appointment on 856-456-3925. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Optometrist in Gloucester City, NJ
No other Optometrist is available in Gloucester City, NJ.