David L Waldie Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

1659 Issued in KS

Legal business name

DAVID L WALDIE OPTOMETRY

Practice address

2230 N Ridge Rd
Suite E
Wichita, KS 67205-1053

Phone

(316) 729-8900

Fax

(316) 729-9824

NPI assigned

Mar 15, 2007

Reactivated

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

David L Waldie, ODNPI 1982600821

Title

Owner

Phone

(316) 729-8900

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L Waldie, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1982600821
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1235263161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N RIDGE RD",
            "address_2": "SUITE E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051053",
            "telephone_number": "316-729-8900",
            "fax_number": "316-729-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N RIDGE RD",
            "address_2": "SUITE E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051053",
            "telephone_number": "316-729-8900",
            "fax_number": "316-729-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L WALDIE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-10-31",
        "deactivation_date": "2007-09-25",
        "reactivation_date": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "WALDIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-729-8900",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1659",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "10533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650561",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Robert Dart, MD
• Lillian Nyawira Dasilva
• Cindy Daugherty, MD
• Hitanshu Dave
• David F Mendoza DMD
• David R. Koepsel D.D.S., LLC
• Gary Davidson, PHARMD
• Michelene Davidson, LCMFT
• Myles Davidson, DDS
• Michael Lee Davies, R.PH.

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.