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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 |
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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...
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Address: 2359 N TRIPHAMMER RD Ithaca, NY 14850 , Phone: 6072571691
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Larry B Wallace in Other Directories
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