Theodore M Wandzilak is a Louisville, Kentucky based Ophthalmologist who is specialized in Ophthalmology. Active license number of Theodore M Wandzilak is 22152 for Ophthalmology in Kentucky.
Theodore M Wandzilak has the knowledge and professional skills needed to provide comprehensive eye and vision care. He is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Complete Profile:
Theodore M Wandzilak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Credentials: | MD |
| Gender: | Male |
| Practice Address: | 1348 Poplar Level Rd, Louisville,
Kentucky, 40217-1307 |
| Phone: | 502-634-8100 |
| Fax: | 502-637-6396 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013909753 |
| NPI Enumeration Date: | 18 Aug, 2005 |
| NPI Last Update On: | 09 Jan, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore M Wandzilak are as mentioned below.
| License Number | Specialization | State | Status | |
| 22152 | Ophthalmology | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Theodore M Wandzilak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 64221526 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1348 Poplar Level Rd,
Louisville, Kentucky |
| Zip: | 40217-1307 |
| Phone Number: | 502-634-8100 |
| Fax Number: | 502-637-6396 |
Patients can reach Theodore M Wandzilak at
1348 Poplar Level Rd, Louisville, Kentucky or can
call to book an appointment on 502-634-8100.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.