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Larry B Wallace

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NPI Number Detailed Information

Provider Information:

Name: Larry B Wallace
Gender: M
Provider License Number If Given: VUT003212

NPI Information:

NPI: 1073545059
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/7/2006

Last Update Date: 10/6/2010

Provider Business Mailing Address:

Address: 322 N. AURORA ST.
Ithaca, NY 14850
Phone Number: 6072774749
Fax Number: 6072775216

Provider Business Practice Location Address:

Address: 322 N AURORA ST
Ithaca, NY 14850
Phone Number: 6072774749
Fax Number: 6072775216

Provider Taxonomy:

Primary: 152WL0500X
Secondary (if any): 152WV0400X
State: NY

Top Doctors in NY

 

About Larry B Wallace

Larry B Wallace ( LARRY B WALLACE ) is Optometrists Optometrist Physician in Ithaca, NY. The NPI Number for Larry B Wallace is 1073545059.
The current location address for Larry B Wallace is 322 N AURORA ST Ithaca, NY 14850 and the contact number is 6072774749 and fax number is 6072775216. The mailing address for Larry B Wallace is 322 N. AURORA ST. Ithaca, NY 14850- 6072774749 (mailing address contact number - 6072774749).
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Provider Business Location on Map

FAQs:

What is the NPI Number for Larry B Wallace ?


Answer: The NPI Number for Larry B Wallace is 1073545059

Where is Larry B Wallace located?


Answer: Larry B Wallace is located at 322 N AURORA ST Ithaca, NY 14850.

What is the specialty for Larry B Wallace ?


Answer: The Specialty of Larry B Wallace is Optometrists Optometrist Physician.

Are there any online reviews for Larry B Wallace ?


Answer: Not yet!

Are there any other health care providers in Ithaca, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Larry B Wallace

Number of HCPCS 11
Number of Medicare Beneficiaries 62
Number of Services 155
Total Submitted Charge Amount 15602
Total Medicare Allowed Amount 12763.49
Total Medicare Payment Amount 9822.35
Total Medicare Standardized Payment Amount 9947.14
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 62
Number of Medical Services 155
Total Medical Submitted Charge Amount 15602
Total Medical Medicare Allowed Amount 12763.49
Total Medical Medicare Payment Amount 9822.35
Total Medical Medicare Standardized Payment Amount 9947.14
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 39
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 41
Number of Male Beneficiaries 21
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.29
Percent (%) of Beneficiaries Identified With Hypertension 0.26
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.23
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7859

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