Larry B Wallace, OD in Ithaca, NY - Medicare Optometry Provider

Larry B Wallace, OD is a medicare enrolled "Optometrist - Vision Therapy" provider in Ithaca, New York. He went to New England College Of Optometry and graduated in 1973 and has 51 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Whole Picture Health And Vision Llc and his current practice location is 322 N Aurora St, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 277-4749.

Larry B Wallace is licensed to practice in New York (license number VUT003212) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073545059.

Contact Information

	Larry B Wallace, OD
	322 N Aurora St, Ithaca, NY 14850-4202
	(607) 277-4749
	(607) 277-5216

Map and Direction

Healthcare Provider's Profile

Full Name	Larry B Wallace
Gender	Male
Speciality	Optometry
Experience	51 Years
Location	322 N Aurora St, Ithaca, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry B Wallace attended and graduated from New England College Of Optometry in 1973

NPI Data:

NPI Number: 1073545059
Provider Enumeration Date: 07/07/2006
Last Update Date: 10/06/2010

Medicare PECOS Information:

PECOS PAC ID: 0547440760
Enrollment ID: I20110204000797

Medical Identifiers

Medical identifiers for Larry B Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073545059	NPI	-	NPPES
T003212-1	Other	NY	NY STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WL0500X	Optometrist - Low Vision Rehabilitation	VUT003212 (New York)	Secondary
152WV0400X	Optometrist - Vision Therapy	VUT003212 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Whole Picture Health And Vision Llc	7719217553	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry B Wallace allows following entities to bill medicare on his behalf.

Provider Name	Whole Picture Health And Vision Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609436542 PECOS PAC ID: 7719217553 Enrollment ID: O20190923000460

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry B Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larry B Wallace, OD 322 N. Aurora St., Ithaca, NY 14850 Ph: (607) 277-4749	Larry B Wallace, OD 322 N Aurora St, Ithaca, NY 14850-4202 Ph: (607) 277-4749

Reviews and Comments

Optometrist in Ithaca, NY

Kristy May Dean, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1284 Dryden Rd, Ithaca, NY 14850 Phone: 607-257-1066 Fax: 607-257-1378
Tamara Stockwin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10 Brentwood Dr, Suite A, Ithaca, NY 14850 Phone: 607-257-5599 Fax: 607-257-3972
Ithaca Eye Care Optometry Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 414 E Upland Rd, Suite A, Ithaca, NY 14850 Phone: 610-613-9080
Dr. Alana Curran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 322 N Aurora St, Ithaca, NY 14850 Phone: 607-246-8466
Westtown Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 609 W Clinton St, Ithaca, NY 14850 Phone: 607-272-7775 Fax: 607-272-7776
Dr Melissa Walters Optometrist Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2230 N Triphammer Rd, Ithaca, NY 14850 Phone: 607-391-0343 Fax: 607-241-9951

Larry B Wallace, OD - Medicare Optometrist in Ithaca, NY