Waggoner, Terrace

Waggoner, Terrace is an individual health care provider with primary practice located at 340 Hulse Rd , Pensacola FL 32508-1089. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waggoner, Terrace can be contacted via phone (850) 505-6254.

Contact Information

Primary practice address
340 Hulse Rd Pensacola FL 32508-1089
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6134 California

Profile Details

NPI number 1427096759
LBN Legal business name Waggoner, Terrace
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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