MEDICARE: DR. WILLIAM WASCHLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	0101039927	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275630584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM WASCHLER M.D.

Provider Business Mailing Address
First Line	:	1201 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2217
Country	:	US
Telephone Number	:	757-425-5550
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 WATERSIDE RD
Second Line	:
City	:	PRINCE GEORGE
State	:	VA
Zip	:	23875-1265
Country	:	US
Telephone Number	:	804-733-7300
Fax Number	:	804-733-7390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/02/2015

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