Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Larry Charles Wallis, OD

Individual provider Optometrist · NPI 1821083585

Dr. Larry Charles Wallis, OD is an Optometrist in Gloucester City, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2005
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

14 N Broadway
Gloucester City, NJ 08030-1507
Phone: (856) 456-3925
Fax: (856) 456-4748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 270A00350300 (NJ)
Optometrist Taxonomy 152W00000X · Licence 27T000023300 (NJ)

Record details

NPI number1821083585
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 19, 2005
Last updated in NPPESOctober 30, 2007
Mailing addressPo Box 93, 14 N Broadway, Gloucester City, NJ 08030-0093

Other providers in Gloucester City