OrganizationActive
Dr. Larry Charles Wallis LLC
NPI 1316382740 · Optometrist · Gloucester City, NJ
Dr. Larry Charles Wallis LLC is a Optometrist organization in Gloucester City, NJ (NPI 1316382740).
Provider details
- NPI number
- 1316382740
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Larry Wallis, Owner-Optometrist(856) 456-3925
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14 N Broadway
Pob93
Gloucester City, NJ 08030-1507
Phone: (856) 456-3925
Street-level locationGet directions
Mailing address
14 N Broadway
Gloucester City, NJ 08030-1507
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2013-04-29
Frequently asked questions
- What is Dr. Larry Charles Wallis LLC's NPI number?
- Dr. Larry Charles Wallis LLC's National Provider Identifier (NPI) is 1316382740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Larry Charles Wallis LLC?
- Dr. Larry Charles Wallis LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr. Larry Charles Wallis LLC located?
- Dr. Larry Charles Wallis LLC's practice location on file with NPPES is 14 N Broadway, Gloucester City, NJ 08030-1507.
- What is Dr. Larry Charles Wallis LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Larry Charles Wallis LLC is (856) 456-3925.
- Who is the authorized official for Dr. Larry Charles Wallis LLC?
- The authorized official listed on Dr. Larry Charles Wallis LLC's NPPES record is Larry Wallis, Owner-Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Larry Charles Wallis LLC's NPI active?
- Yes — Dr. Larry Charles Wallis LLC's NPI (1316382740) is active in the NPPES registry as of the last update on 2013-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.