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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Larry Charles Wallis, OD

Optometrist in Gloucester City, NJ · enumerated 2005 · practices at Dr. Larry Charles Wallis LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821083585

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Registry record

Entity type Individual (Type 1)
Name Dr. Larry Charles Wallis
Credential OD
Sex Male
Practice address Gloucester City, NJ, 08030
Phone (856) 456-3925
Fax (856) 456-4748
Enumeration date Sep 19, 2005
Last updated in NPPES Oct 30, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 270A00350300 (NJ) Primary
152W00000X Optometrist Eye and Vision Services Providers · License 27T000023300 (NJ) Secondary
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
1695401 Medicaid NJ -

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.

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Frequently asked questions

Where does Larry Wallis practice?
The practice location on file with NPPES is in Gloucester City, NJ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Larry Wallis?
The National Provider Identifier (NPI) for Larry Wallis is 1821083585, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-30.