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

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



Healthcare Provider's Profile

Full NameLarry B Wallace
GenderMale
SpecialityOptometry
Experience51 Years
Location322 N Aurora St, Ithaca, New York
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1073545059NPI-NPPES
T003212-1OtherNYNY STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WL0500XOptometrist - Low Vision Rehabilitation VUT003212 (New York)Secondary
152WV0400XOptometrist - Vision Therapy VUT003212 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Whole Picture Health And Vision Llc77192175533

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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 NameWhole Picture Health And Vision Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609436542
PECOS PAC ID: 7719217553
Enrollment ID: O20190923000460

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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 AddressPractice 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

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Optometrist in Ithaca, NY

Kristy May Dean, O.D.
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Medicare: Medicare Enrolled
Practice Location: 1284 Dryden Rd, Ithaca, NY 14850
Phone: 607-257-1066    Fax: 607-257-1378
Tamara Stockwin, OD
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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

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