DAVID L WALDIE OPTOMETRY

NPI # 

Practice Address:

2230 N Ridge Rd , Suite E

Wichita, KS, 67205-1053

Practice Phone:

316-729-8900

Practice Fax:

316-729-9824

License Number:

1659

License State:

KS

Taxonomy Grouping:

Eye and Vision Services Providers

Taxonomy Classification:

Optometrist

Taxonomy Code:

152W00000X

Deactivation Date:

2007-09-25T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2007-11-20T00:00:00.000Z