Waldie, David L

Waldie, David L is an individual health care provider with primary practice located at 9390 E Central Ave Ste 101, Wichita KS 67206-2555. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waldie, David L can be contacted via phone (316) 636-2080.

Contact Information

Primary practice address
9390 E Central Ave Ste 101 Wichita KS 67206-2555
Phone: (316) 636-2080
Fax: (316) 636-2965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1053-3 Kansas

Profile Details

NPI number 1982600821
LBN Legal business name Waldie, David L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Oct 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982600821 NPPES
Kansas Other 468502 CHILDREN'S MERCY/FHP
Kansas Other 651174 CHILDREN'S MERCY/FHP
Kansas Other P00624552 CHILDREN'S MERCY/FHP
Kansas MEDICAID 100091010C CHILDREN'S MERCY/FHP
Kansas Other 636280 CHILDREN'S MERCY/FHP
Kansas Other 000975 CHILDREN'S MERCY/FHP
Kansas MEDICAID 100091010A CHILDREN'S MERCY/FHP

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