Search › New York › 152WV0400X
Larry Wallace, OD
NPI 1073545059 · on the registry since 2006 · sole proprietor
Practice
- Address
- 322 N Aurora St
Ithaca, NY 14850 - Phone
- (607) 277-4749
- Fax
- (607) 277-5216
- Organisation at this address
- Whole Picture Health And Vision, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152WV0400X
152WV0400X
- Also registered as
- 152WL0500X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York