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DR. LARRY CHARLES WALLIS LLC
NPI 1316382740
Optometrist in Gloucester City, NJ

Active since April 29, 2013
14 N BROADWAY, POB93, GLOUCESTER CITY, NJ 08030(856) 456-3925 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larry Charles Wallis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY CHARLES WALLIS LLC (NPI 1316382740) is a healthcare organization registered as an optometrist in Gloucester City, New Jersey and active in the NPI registry since April 2013. The organization lists Larry Charles Wallis, Owner-optometrist, as its authorized official.

NPPES Registry Identity

NPI1316382740
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. LARRY CHARLES WALLIS LLC
Location Address14 N BROADWAY, POB93Gloucester City, NJ 08030-1507
Mailing Address14 N Broadway, Pob93Gloucester City, NJ 08030-1507 · (856) 456-3925
Phone(856) 456-3925
Organization SubpartNo
Authorized OfficialLarry Charles WallisOwner-optometrist · (856) 456-3925
Enumeration DateApril 29, 2013
✔ NPI 1316382740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14 N BROADWAY, Gloucester City, NJ 08030
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Other Identifiers 3

Medicare OSCAR/certificationWA54627NJ
Medicare UPINT77821NJ
Medicaid1695401NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LARRY CHARLES WALLIS OD
Optometrist
14 N BROADWAY
GLOUCESTER CITY, NJ 08030
Camden County (856) 456-3925

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 Dr. Larry Charles Wallis LLC's NPI number?

The NPI number for Dr. Larry Charles Wallis LLC is 1316382740. It was assigned to this organization in the NPPES registry on April 29, 2013.

Where is Dr. Larry Charles Wallis LLC located?

Dr. Larry Charles Wallis LLC is located at 14 N Broadway Pob93, Gloucester City, NJ 08030. The listed phone number is (856) 456-3925.

What is Dr. Larry Charles Wallis LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Dr. Larry Charles Wallis LLC was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.