DR. LARRY WALLIS, OD

Optometrist

Active Individual
NPI: 1821083585

Practice Address

14 N BROADWAY
Gloucester City, NJ 08030

Phone: (856) 456-3925

Specialties

Specialty Code Primary License
Optometrist 152W00000X No 27T000023300 (NJ)

Frequently Asked Questions

NPI 1821083585 is the National Provider Identifier for DR. LARRY WALLIS, OD, a Optometrist provider located in Gloucester City, NJ. This NPI was enumerated on September 19, 2005.
DR. LARRY WALLIS, OD practices at 14 N BROADWAY, Gloucester City, NJ 08030.

Quick Facts

NPI
1821083585
Type
Individual
Enumerated
Sep 19, 2005
Last Updated
Oct 30, 2007

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