NPI 1073545059

Larry B Wallace, OD

Practitioner Vision Therapy Optometrist Ithaca, NY

Practice location

Address: 322 N Aurora St, Ithaca, NY 14850-4202
Phone: (607) 277-4749
Fax: (607) 277-5216
Mailing address: 322 N. Aurora St., Ithaca, NY 14850

Registered specialties (2)

Vision Therapy Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WV0400X Licence VUT003212 (NY)

Other Optometrist providers in New York →

Low Vision Rehabilitation Optometrist

Eye and Vision Services Providers Taxonomy 152WL0500X Licence VUT003212 (NY)

Registry record

NPI: 1073545059
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 6 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.