Healthcare Provider Details

I. General information

NPI: 1992116032
Provider Name (Legal Business Name): ANDREW WARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
OCEANSIDE CA
92055
US

IV. Provider business mailing address

NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
OCEANSIDE CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 317-797-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA139290
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: