LARRY B WALLACE OD
NPI 1073545059
Optometrist - Vision Therapy in Ithaca, NY
About Larry B Wallace Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY B WALLACE OD (NPI 1073545059) is an individual vision therapy provider in Ithaca, New York, licensed in New York (VUT003212) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1973).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Larry B Wallace Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Larry Wallace's NPI number?
The NPI number for Larry Wallace is 1073545059. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Larry Wallace located?
Larry Wallace practices at 322 N Aurora St, Ithaca, NY 14850. The listed phone number is (607) 277-4749.
What is Larry Wallace's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.
Is Larry Wallace enrolled in Medicare?
Yes. Larry Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Larry Wallace was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
