Larry B Wallace, OD
Larry B Wallace is a Vision Therapy Optometrist provider (Optometrist) practicing in Ithaca, NY, registered in the NPPES registry with NPI 1073545059 since 2006. The credential OD stands for Doctor of Optometry. Practices at Whole Picture Health and Vision, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1073545059 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Larry B Wallace |
| Credential | OD |
| Sex | Male |
| Practice address | Ithaca, NY, 14850 |
| Phone | 6072774749 |
| Fax | 6072775216 |
| Enumeration date | 2006-07-07 |
| Last updated in NPPES | 2010-10-06 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152WL0500X | Low Vision Rehabilitation Optometrist | Secondary | VUT003212 | NY |
| 152WV0400X | Vision Therapy Optometrist | Primary | VUT003212 | NY |
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T003212-1 | Other | NY | NY STATE LICENSE |
Copy-ready billing details
Provider: Larry Wallace, OD NPI: 1073545059 Taxonomy: 152WV0400X (Vision Therapy Optometrist) Address: Ithaca, NY, 14850
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619273166 | Carrie Hathaway | Individual | Occupational Therapist | Ithaca, NY |
| 1144750035 | Tanya Bloom | Individual | Vision Therapy Optometrist | Ithaca, NY |
| 1083271373 | Alana Curran | Individual | Optometrist | Ithaca, NY |
| 1609436542 | Whole Picture Health and Vision, LLC | Organization | Optometrist | Ithaca, NY |
Verify this record
Cross-check NPI 1073545059 against the authoritative CMS record: view Larry B Wallace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-10-06.