Theodore M Wandzilak
Ophthalmologist
1348 Poplar Level Rd
Louisville
, Kentucky 40217-1307
Theodore M Wandzilak
Ophthalmologist
1348 Poplar Level Rd
Louisville
, Kentucky 40217-1307
(502) 637-6396
Write a Review Share Save Call
About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Theodore M Wandzilak
- 1348 Poplar Level Rd
- Louisville, KY
- Zip : 40217-1307
- Fax : (502) 637-6396
- Phone : (502) 634-8100
Second Address
- Theodore M Wandzilak
- 1348 Poplar Level Rd
- Louisville, KY
- Zip : 40217-1307
- Fax : (502) 637-6396
- Phone : (502) 634-8100
Reviews
FAQs
Where did Theodore M Wandzilak attend graduate school?
Where did Theodore M Wandzilak do his residency?
Where did Theodore M Wandzilak do his fellowship?
Is Theodore M Wandzilak board certified?
What type of doctor is Theodore M Wandzilak
In what state does Theodore M Wandzilak practice in?
Where is Theodore M Wandzilak ’s practice located?
What is Theodore M Wandzilak ’s gender?
Is Theodore M Wandzilak a sole practitioner?
Is Theodore M Wandzilak accepting new patients?
What languages does Theodore M Wandzilak speak?
Does Theodore M Wandzilak accept insurance?
Does Theodore M Wandzilak offers telemedicine?
What is Theodore M Wandzilak ’s professional license number?
What is Theodore M Wandzilak ’s NPI number?
Does Theodore M Wandzilak have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 22152 | KY |
National Provider Identifier
| NPI | 1013909753 |
|---|---|
| Provider Name | Theodore M Wandzilak |
| First Address | Louisville, KY 40217-1307 |
| Second Address | Louisville, KY 40217-1307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 09/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64221526 | (05) | KY |
| C72335 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.