NPI 1013909753

Theodore M Wandzilak, MD

Practitioner Ophthalmology Physician Louisville, KY

Practice location

Address: 1348 Poplar Level Rd, Louisville, KY 40217-1307
Phone: (502) 634-8100
Fax: (502) 637-6396

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 22152 (KY)

Other Ophthalmology providers in Kentucky →

Registry record

NPI: 1013909753
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2005
Record last updated: 9 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.