Organization
ROBERT A. WAYDA, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A WAYDA O.D. (OWNER)
(559) 591-1025
Entity
Organization
Contact information
Practice address
204 N K ST, DINUBA, CA 93618-1926
(559) 591-1025
(559) 591-9345
Mailing address
204 N K ST, DINUBA, CA 93618-1926
(559) 591-1025
(559) 591-9345
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OP580700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558360701
NPI
CA
05
—
SD0058070
—
CA
Enumeration date
02/28/2008
Last updated
02/28/2008
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