Organization
THEODORE J. WADAS,OD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE JOHN WADAS O.D. (OWNER/PRESIDENT)
(315) 736-3217
Entity
Organization
Contact information
Practice address
408 MAIN ST, NEW YORK MILLS, NY 13417-1239
(315) 736-3217
Mailing address
408 MAIN ST, NEW YORK MILLS, NY 13417-1239
(315) 736-3217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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