Organization
CHARLES A WARDLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCY DAVIS L.D.O. (OFFICE MANAGER)
(360) 423-7650
Entity
Organization
Contact information
Practice address
1426 COMMERCE AVE, LONGVIEW, WA 98632-3720
(360) 423-7650
(360) 423-2346
Mailing address
PO BOX 928, LONGVIEW, WA 98632-7582
(360) 423-7650
(360) 423-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
907
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046902
—
WA
01
—
DG6451
RAILROAD MEDICARE
WA
Enumeration date
11/27/2007
Last updated
09/23/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up