DR. KATHRYN WANDEL (NPI# 1184710725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184710725 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN WANDEL |
| Other Name | DR. KATIE WANDEL |
| Credential | O.D. |
| Practice Address |
9500 Gilman Drive, #0039 La Jolla CA 92093-0039 |
| Practice Telephone | 8585342602 |
| Mailing Telephone | 8585342602 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 18002987B | IN | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 13459T | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2421 | CO | Eye and Vision Services Providers |
| Street Address |
9500 GILMAN DRIVE, #0039 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-0039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517707 | Heawon Kim | Optometrist | 9192 Regents Rd Apt E, La Jolla, CA 92037-1442 | 2020-08-05 |
| 1386143790 | Matthew W.gentile, O.d., A Professional Optometric Corporation | Optometrist | 4150 Regents Park Row Ste 160, La Jolla, CA 92037-9138 | 2018-02-12 |
| 1417294091 | John Raymond Anthony | Optometrist | 6667 La Jolla Scenic Dr S, La Jolla, CA 92037-5735 | 2013-01-15 |
| 1700194040 | Mehri Moshtaghi | Optometrist | 9850 Genesee Ave Ste 310, La Jolla, CA 92037-1208 | 2010-09-21 |
| 1659521987 | Jesse A Camen | Optometrist | 5702 La Jolla Blvd Ste 102, La Jolla, CA 92037-7322 | 2008-09-23 |
| 1518187970 | Steven Paul Tayman | Optometrist | 4150 Regents Park Row #160, La Jolla, CA 92037-9138 | 2007-04-26 |
| 1538210844 | Damian M Ploof | Optometrist | 4130 La Jolla Village Dr Ste 102, La Jolla, CA 92037-1480 | 2007-01-15 |
| 1013075365 | Richard R Trainer | Optometrist | 930 Silverado St, La Jolla, CA 92037-4236 | 2006-12-05 |
| 1780778431 | Deborah L Prince | Optometrist | 3251 Holiday Court #689, Suite 200, La Jolla, CA 92037 | 2006-10-03 |
| 1386619906 | Wildon C Wong | Optometrist | 7825 Fay Avenue, Suite 140, La Jolla, CA 92037 | 2006-02-17 |
| Find all providers in LA JOLLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.