Organization
DAVID L WALDIE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L WALDIE OD (OWNER)
(316) 729-8900
Entity
Organization
Contact information
Practice address
2230 N RIDGE RD, SUITE E, WICHITA, KS 67205-1053
(316) 729-8900
(316) 729-9824
Mailing address
2230 N RIDGE RD, SUITE E, WICHITA, KS 67205-1053
(316) 729-8900
(316) 729-9824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10533
KS
152W00000X
Optometrist
Primary
1659
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000150A
—
KS
01
—
650561
BCBS
KS
Enumeration date
03/15/2007
Last updated
10/31/2008
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