Joseph S Wald, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3634 Issued in WA

Practice address

855 S Alder St
Suite a
Burlington, WA 98233-2808

Phone

(360) 755-9211

Fax

(360) 755-0501

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph Wald OD Inc

  • Optometrist
  • Burlington, WA
  • NPI 1528467800
  NPD (past)
• Whatcom Vision Clinics LLC

  • Optometrist
  • Bellingham, WA
  • NPI 1407804552
  NPD (past)
• Whidbey Vision Care Inc PS

  • Optometrist
  • Oak Harbor, WA
  • NPI 1497810071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1083797971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S ALDER ST",
            "address_2": "SUITE A",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332808",
            "telephone_number": "360-755-9211",
            "fax_number": "360-755-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S ALDER ST",
            "address_2": "SUITE A",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332808",
            "telephone_number": "360-755-9211",
            "fax_number": "360-755-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029593",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Villalobos
• Vision Plus Burlington, PLLC
• Richard A Volwiler, DDS, MSD
• Curtis K Wade, DDS
• Eva Marie Wagoner, LMT
• Walgreen Co
• Mary Alice Wall, CDP
• Logan Matthew Warriner
• Tiffany M Washa, LMHC #LH60460259
• Natalie Elizabeth Weatherby, CNM, ARNP

• Optometrist in Burlington, WA
• Providers in Burlington, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.