Larry B. Wallace, OD
NPI 1073545059ActiveIndividual· Optometrist, Vision Therapy· Ithaca, NY
Optometrist, Vision Therapy (OD) in Ithaca, New York, trained at New England College of Optometry (class of 1973). Medicare paid $9,825 for services to 54 patients in 2024. Lkc Technologies, Inc. reported $29.78 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1073545059 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Oct 6, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | VUT003212 | NY |
| Optometrist, Low Vision Rehabilitation | 152WL0500X | VUT003212 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 188 across 12 procedure codes |
| Paid by Medicare | $9,825 |
Education and affiliations
| Medical school | New England College of Optometry |
|---|---|
| Graduation year | 1973 |
| Medicare specialty | Optometry |
Medical group
- Whole Picture Health and Vision LLCIthaca, NY · 3 clinicians
Industry payments (Open Payments)
- 2025$29.78 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lkc Technologies, Inc. | $29.78 | 1 |
What the 2025 payments were for
- Food and Beverage$29.78 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist, Vision Therapy providers in Ithaca
- 1144750035