National Provider Identifier
Larry B Wallace, OD
Larry B Wallace, OD is listed in the NPPES registry with a primary specialty of Vision Therapy Optometrist in Ithaca, NY and a listed phone number of (607) 277-4749.
Source: public NPPES record, last updated October 06, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1073545059
- Provider Type
- Individual
- Primary Specialty
- Vision Therapy Optometrist
- Enumeration Date
- July 07, 2006
- Last Updated
- October 06, 2010
Practice Location
- 322 N Aurora St
- Ithaca, NY 14850-4202
Phone: (607) 277-4749
Mailing Address
- 322 N. Aurora St.
- Ithaca, NY 14850
Specialties
- Vision Therapy Optometrist (152WV0400X)
- Low Vision Rehabilitation Optometrist (152WL0500X)
Browse Similar Providers
See more providers in the Optometrist classification in Ithaca, NY.
Open Optometrist providers in Ithaca, NY
Open the exact Vision Therapy specialty directory in Ithaca, NY
Medicare Part B Activity
Reported 170 Medicare fee-for-service service lines in 2024.
Peer comparison
Compared to Optometrist providers in the Ithaca, NY metro area.
This provider is in the 17th percentile for Medicare service volume.
Lower volume than many peers.
Performs 35% fewer Medicare services than the peer median.
Higher than 2 of 12 peers.
- Activity Percentile
- 16.7%
- Rank by Services
- 10 of 12
- Total Services
- 170
- Est. Allowed Value
- $12,982.72
- Dataset Year
- 2024
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Optometrist classification rather than the exact subspecialty label shown elsewhere on the page.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Optometrist across the Ithaca, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 31 to 2,273 total Medicare services.
Top Clinical Services
- 92012: Established patient problem focused exam of visual system
51 services | $4,302.97
- 92060: Exam to measure eye deviation and range of motion
41 services | $2,476.93
- 92082: Exam of visual field with intermediate testing
30 services | $1,301.70
- 99213: Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
25 services | $2,155.13
- 92014: Established patient complete exam of visual system
23 services | $2,745.99
Full Record
- NPI
- 1073545059
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Larry
- Middle Name
- B
- Credential
- OD
- Mailing Street Address
- 322 N. Aurora St.
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 277-4749
- Mailing Fax
- (607) 277-5216
- Practice Street Address
- 322 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4202
- Practice Country
- US
- Practice Phone
- (607) 277-4749
- Practice Fax
- (607) 277-5216
- Enumeration Date
- July 07, 2006
- Last Updated
- October 06, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Vision Therapy Optometrist (152WV0400X), Low Vision Rehabilitation Optometrist (152WL0500X)
- Other Identifiers
- T003212-1 (NY, Ny State License)