Dr. Larry Charles Wallis LLC
NPI #1316382740 in Gloucester City, New Jersey
Provider Information
- NPI Number
- 1316382740
- Entity Type
- Organization
- Organization Name
- Dr. Larry Charles Wallis LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 29, 2013
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 14 N BROADWAY
- Address 2
- POB93
- City
- Gloucester City
- State
- New Jersey
- ZIP Code
- 08030-1507
- Phone
- (856) 456-3925
Authorized Official
- Name
- DR. LARRY CHARLES WALLIS, O.D.
- Title
- OWNER-OPTOMETRIST
- Phone
- (856) 456-3925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Larry Charles Wallis, OD | |
| DR. Stephen Alan Kowalsky, OD | |
| DR. Roger Allen Young, O.D. | |
| DR. Charles H Fitzpatrick, O.D. |
Organizations
| Provider Name | |
|---|---|
| Steve & Beth Inc. |
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