Chad Michael Waggoner is a Providence, Rhode Island based male Optometrist with 24 years of experience in Optometry. He completed his graduation from University Of Missouri St Louis - School Of Optometry in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Chad Michael Waggoner is ODTG00743 for Optometry in Rhode Island. Chad Michael Waggoner examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Chad Michael Waggoner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
24+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
891 Westminster St, Providence, Rhode Island, 02903-4020
Phone:
401-331-7850
Fax:
401-274-4739
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9335153949
Enrollment ID:
I20200915001284
NPI Number:
1285686139
NPI Enumeration Date:
17 May, 2006
NPI Last Update On:
27 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chad Michael Waggoner are as mentioned below.
License Number
Specialization
State
Status
ODTG00743
Optometry
Rhode Island
Primary
OD00003598
Optometry
Washington
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Chad Michael Waggoner has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Sharon Richens Md Eye Physician And Surgeon Pc (4385605799)
9
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2915 Benjamin Ct Se, Olympia, Washington
Zip:
98501-4807
Phone Number:
360-754-2817
Fax Number:
360-456-3894
Patients can reach Chad Michael Waggoner at 891 Westminster St, Providence, Rhode Island or can call to book an appointment on 401-331-7850. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.