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THEODORE M WANDZILAK MD
NPI 1033396171
Durable Medical Equipment & Medical Supplies in Louisville, KY

Active since January 30, 2008
1348 POPLAR LEVEL RD, LOUISVILLE, KY 40217(502) 634-1721(502) 637-6396 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore M Wandzilak Md NPPES

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

THEODORE M WANDZILAK MD (NPI 1033396171) is a healthcare organization registered as a durable medical equipment & medical supplies in Louisville, Kentucky and active in the NPI registry since January 2008. The organization lists Pam Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1033396171
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHEODORE M WANDZILAK MD
Location Address1348 POPLAR LEVEL RDLouisville, KY 40217-1307
Mailing Address1348 Poplar Level RdLouisville, KY 40217-1307 · (502) 634-1721 · Fax (502) 637-6396
Phone(502) 634-1721
Fax(502) 637-6396
Organization SubpartNo
Authorized OfficialPam SmithManager · (502) 634-1721
Enumeration DateJanuary 30, 2008
Last NPPES UpdateJune 8, 2017
✔ NPI 1033396171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in KY · 22152
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1348 POPLAR LEVEL RD, Louisville, KY 40217
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Other Identifiers 1

Medicare NSC0242010001KY

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
Ophthalmology
1348 POPLAR LEVEL RD
LOUISVILLE, KY 40217
Jefferson County (502) 634-8100

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 M Wandzilak MD's NPI number?

The NPI number for Theodore M Wandzilak MD is 1033396171. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Theodore M Wandzilak MD located?

Theodore M Wandzilak MD is located at 1348 Poplar Level Rd, Louisville, KY 40217. The listed phone number is (502) 634-1721.

What is Theodore M Wandzilak MD's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Theodore M Wandzilak MD was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.