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

Map and Direction




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

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

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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.