National Provider Identifier Database

CHARLES A WARDLE
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

CHARLES A WARDLE
1426 COMMERCE AVE
LONGVIEW, WA98632-3720
Phone: 360-423-7650
Fax: 360-423-2346
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CHARLES A WARDLE

NPI Number 1154503605
Legal business name
LBN
CHARLES A WARDLE
Authorized official DARCY DAVIS - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/27/2007
Last updated 09/23/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 907
  • WA Medicaid: 2046902
  • WA Other: DG6451 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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