Larry B Wallace is a Ithaca, New York based male Low Vision Rehabilitation Optometrist with 51 years of experience in Optometry - Low Vision Rehabilitation. He completed his graduation from New England College Of Optometry in 1973. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Larry B Wallace is VUT003212 for Optometry - Vision Therapy in New York. Larry B Wallace specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. He has 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 with specialization in low vision rehabilitation.
Complete Profile:
Larry B Wallace 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 - Low Vision Rehabilitation
Credentials:
OD
Experience:
51+ years
Medical School Attended:
New England College Of Optometry
Graduation Year:
1973
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
322 N Aurora St, Ithaca, New York, 14850-4202
Phone:
607-277-4749
Fax:
607-277-5216
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.
PAC ID:
0547440760
Enrollment ID:
I20110204000797
NPI Number:
1073545059
NPI Enumeration Date:
07 Jul, 2006
NPI Last Update On:
06 Oct, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry B Wallace are as mentioned below.
License Number
Specialization
State
Status
VUT003212
Optometry - Vision Therapy
New York
Primary
VUT003212
Optometry - Low Vision Rehabilitation
New York
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Larry B Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Whole Picture Health And Vision Llc (7719217553)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry B Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
T003212-1
Other
New York
NY STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
322 N. Aurora St., Ithaca, New York
Zip:
14850
Phone Number:
607-277-4749
Fax Number:
607-277-5216
Patients can reach Larry B Wallace at 322 N Aurora St, Ithaca, New York or can call to book an appointment on 607-277-4749. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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