Larry E Waggoner O D Prof Corp

LBN: Larry E Waggoner O D Prof Corp
Larry E Waggoner O D Prof Corp is an health care organization with primary practice located at 12134 Mount Mesa Rd , Lake Isabella CA 93240-9690. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Larry E Waggoner O D Prof Corp can be contacted via phone (760) 379-3602, or through Waggoner, Larry E. via phone (760) 379-3602.

Contact Information

Primary practice address
12134 Mount Mesa Rd Lake Isabella CA 93240-9690
Phone: (760) 379-3602
Fax: (760) 379-2232
Website:
Map and Directions
Authorized official contact:
Name: Waggoner, Larry E. Doctor of Optometry (OD)
Phone: (760) 379-3602

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6133 California

Profile Details

NPI number 1336449388
LBN Legal business name Larry E Waggoner O D Prof Corp
DBA Doing business as
Authorized official Waggoner, Larry E. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2010
Last updated Nov 22nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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