Dr. Thomas Jonathan Waeltz, OD
Optometrist in Fitchburg, WI. Individual provider (NPI-1).
NPI number1982055083
StatusActive
Last updated in NPPESDec 10, 2018
Details
- NPI
- 1982055083
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Jonathan Waeltz
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2016
- Last updated
- Dec 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3421-35 | WI | Yes |
Practice location
3051 Cahill MainFitchburg, WI 53711-7109
Phone 608-661-7200
Mailing address
4773 N Cramer StMilwaukee, WI 53211-1228
Phone 414-339-4265
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All 16 Optometrist providers in Fitchburg · All 935 providers in Fitchburg
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