Individual
WILLIAM R WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000144
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009235281
—
VA
01
—
10997
AVESIS
VA
01
—
2149623
AETNA U.S. HEALTHCARE
VA
01
—
320-621
MAMSI
VA
01
—
381285
ANTHEM BLUE CROSS
VA
01
—
56056
SENTARA
VA
01
—
WA917852
CLARITY VISION
VA
Enumeration date
06/23/2005
Last updated
03/09/2010
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