Larry Wallis, OD
NPI 1821083585 · Optometrist · Gloucester City, NJ
Larry Wallis, OD is a Optometrist provider in Gloucester City, NJ (NPI 1821083585).
Provider details
- NPI number
- 1821083585
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 270A00350300 (NJ)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2007-10-30
Frequently asked questions
- What is Larry Wallis's NPI number?
- Larry Wallis's National Provider Identifier (NPI) is 1821083585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Wallis's specialty?
- Larry Wallis is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Larry Wallis located?
- Larry Wallis's practice location on file with NPPES is 14 N Broadway, Gloucester City, NJ 08030-1507.
- What is Larry Wallis's phone number?
- The practice phone number listed in the NPPES registry for Larry Wallis is (856) 456-3925.
- Is Larry Wallis's NPI active?
- Yes — Larry Wallis's NPI (1821083585) is active in the NPPES registry as of the last update on 2007-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.