THEODORE M WANDZILAK MD
NPI 1013909753
Ophthalmology in Louisville, KY

Q: What is Theodore Wandzilak's NPI number?

The NPI number for Theodore Wandzilak is 1013909753. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Theodore Wandzilak's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since August 18, 2005PECOS Enrolled

1348 POPLAR LEVEL RD, LOUISVILLE, KY 40217(502) 634-8100(502) 637-6396 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodore M Wandzilak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE M WANDZILAK MD (NPI 1013909753) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (22152) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013909753

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameTHEODORE M WANDZILAKCredential: MD

Location Address1348 POPLAR LEVEL RDLouisville, KY 40217-1307

Mailing Address1348 Poplar Level RdLouisville, KY 40217-1307 · (502) 634-8100 · Fax (502) 637-6396

Phone(502) 634-8100

Fax(502) 637-6396

Sole ProprietorYes

Enumeration DateAugust 18, 2005

Last NPPES UpdateJanuary 9, 2008

✔ NPI 1013909753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in KY · 22152

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are 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.

1348 POPLAR LEVEL RD, Louisville, KY 40217

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Other Identifiers 4

Medicare NSC0242010001

Medicare ID-Type Unspecified1430501KY

Medicare UPINC72335KY

Medicaid64221526KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore M Wandzilak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THEODORE M WANDZILAK MD

Durable Medical Equipment & Medical Supplies

1348 POPLAR LEVEL RD
LOUISVILLE, KY 40217

Jefferson County (502) 634-1721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Wandzilak's NPI number?

The NPI number for Theodore Wandzilak is 1013909753. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Theodore Wandzilak located?

Theodore Wandzilak practices at 1348 Poplar Level Rd, Louisville, KY 40217. The listed phone number is (502) 634-8100.

What is Theodore Wandzilak's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Theodore Wandzilak enrolled in Medicare?

Yes. Theodore Wandzilak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Wandzilak was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.