Dr. Larry Charles Wallis LLC
Optometrist in Gloucester City, New Jersey
1316382740- Practice location
- 14 N Broadway, Pob93, Gloucester City, NJ 08030-1507
- Phone
- 856-456-3925
- Fax
- —
- Last updated
- April 29, 2013
Dr. Larry Charles Wallis LLC is a healthcare organization based in Gloucester City, NJ. Dr. Larry Charles Wallis LLC practices in Gloucester City, NJ. The NPI Number for Dr. Larry Charles Wallis LLC is 1316382740. The current practice location address for Dr. Larry Charles Wallis LLC is 14 N Broadway, Pob93, Gloucester City, NJ 08030-1507 and can be reached out via phone at 856-456-3925.
Provider Profile Details
- NPI Number
- 1316382740
- Provider Name
- Dr. Larry Charles Wallis LLC
- Provider Entity Type
- Organization
- Address
- 14 N Broadway, Pob93, Gloucester City, NJ 08030-1507
- Phone Number
- 856-456-3925
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Larry Charles Wallis, OD · Owner-Optometrist · 856-456-3925
- Provider Enumeration Date
- April 29, 2013
- Last Update Date
- April 29, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 N Broadway
Pob93
Gloucester City, NJ 08030-1507 - City
- Gloucester City
- State
- New Jersey
- Zip
- 08030-1507
- Phone Number
- 856-456-3925
Provider Business Mailing Address Details
- Address
- 14 N Broadway
Pob93
Gloucester City, NJ 08030-1507 - City
- Gloucester City
- State
- NJ
- Zip
- 08030-1507
- Phone Number
- 856-456-3925
License Information
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Gloucester City, NJ
View all Optometrists in Gloucester City →- Dr. Larry C Wallis, ODOptometrist · NPI 1821083585
- Hannah Rosenthal, DNP, FNP-CNurse Practitioner, Family · NPI 1558024398
- Kathryn WesleySocial Worker, Clinical · NPI 1619338480
- Crowned CommunitiesCase Manager/Care Coordinator · NPI 1518878388
- A Space For US CounselingClinic/Center, Mental Health (Including Community Mental Health Center) · NPI 1497467708
- Mrs. Keana Fairfax, MSW, LCSWSocial Worker, Clinical · NPI 1588376891
Frequently Asked Questions
What is the NPI number of Dr. Larry Charles Wallis LLC?
The NPI number of Dr. Larry Charles Wallis LLC is 1316382740. It was assigned on April 29, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Larry Charles Wallis LLC?
Dr. Larry Charles Wallis LLC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does Dr. Larry Charles Wallis LLC practice?
The practice location is 14 N Broadway, Pob93, Gloucester City, NJ 08030-1507. The office can be reached at 856-456-3925 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316382740 directly on the NPPES registry website.