Individual
DR. DAVID L WALDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9390 E CENTRAL AVE, STE 101, WICHITA, KS 67206-2555
(316) 636-2080
(316) 636-2965
Mailing address
9390 E CENTRAL AVE, STE 101, WICHITA, KS 67206-2555
(316) 636-2080
(316) 636-2965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1053-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000975
PREFERRED HEALTH SYSTEMS
KS
05
—
100091010A
—
KS
05
—
100091010C
—
KS
01
—
468502
CHILDREN'S MERCY/FHP
KS
01
—
636280
FIRST GUARD
KS
01
—
651174
BCBS
KS
01
—
P00624552
RR MEDICARE PIN
KS
Enumeration date
06/24/2005
Last updated
10/28/2008
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