Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE M WANDZILAK, MD
Active Sole ProprietorOphthalmology · LOUISVILLE, KY
Registration Details
- NPI Number
- 1013909753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.692695280105 yrs)
- Last Updated
- Jan 9, 2008
- License
-
22152 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1348 POPLAR LEVEL RDLOUISVILLE, KY, 402171307Browse KY providers · Browse ZIP 40217
- Phone
- 5026348100
- Fax
- 5026376396
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| JOHN ANDREW MILLIN | M.D. | 1730182221 |
| CONNIE MEREDITH | MD | 1972504819 |
| DR. NORMAN D RADTKE | M.D. | 1073514717 |
| DR. LLOYD ROSS TAUSTINE | MD | 1437151099 |
| C THOMAS MORAN | MD | 1902890783 |
| JOSEPH R BRIGHTWELL | MD | 1255325031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.