Larry B Wallace, OD

NPI #1073545059 in Ithaca, New York

Provider Information

NPI Number
1073545059
Entity Type
Individual
Name
Larry B Wallace, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist - Vision Therapy
Credential
OD
Enumeration Date
Jul 7, 2006
Last Updated
Oct 6, 2010

Practice Location

Address
322 N AURORA ST
City
Ithaca
ZIP Code
14850-4202
Phone
(607) 277-4749

Specialties & Taxonomy Codes

Specialty
Optometrist - Low Vision RehabilitationLow Vision Rehabilitation
Optometrist - Vision TherapyVision Therapy

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