Dr Larry Charles Wallis LLC
Dr Larry Charles Wallis LLC is an Optometrist in Gloucester City, New Jersey. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14 N Broadway POB93Gloucester City, NJ 08030-1507
Phone: (856) 456-3925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X |
|---|
Record details
| NPI number | 1316382740 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Wallis — Owner-Optometrist · (856) 456-3925 |
| NPI enumerated | April 29, 2013 |
| Last updated in NPPES | April 29, 2013 |
| Mailing address | 14 N Broadway, Pob93, Gloucester City, NJ 08030-1507 |
Other providers in Gloucester City
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Dr. Larry Charles Wallis, OD
14 N Broadway, Gloucester City, NJ 08030-1507 · (856) 456-3925