Organization
WILLIAM R. WALDRON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R WALDRON O.D. (OWNER)
(757) 596-5666
Entity
Organization
Contact information
Practice address
1215 GEORGE WASHINGTON MEM HWY, SUITE V, YORKTOWN, VA 23693-4316
(757) 596-5666
(757) 596-9755
Mailing address
1215 GEORGE WASHINGTON MEM HWY, SUITE V, YORKTOWN, VA 23693-4316
(757) 596-5666
(757) 596-9755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000144
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009236651
—
VA
01
—
10997
AVESIS
VA
01
—
WA917852
DAVIS
VA
Enumeration date
08/16/2007
Last updated
05/09/2013
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