Larry E Waggoner O D Prof Corp
Larry E Waggoner O D Prof Corp is an Optometrist in Lake Isabella, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12134 Mount Mesa RdLake Isabella, CA 93240-9690
Phone: (760) 379-3602
Fax: (760) 379-2232
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 6133 (CA) |
|---|
Record details
| NPI number | 1336449388 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Waggoner — Owner/Optometrist · (760) 379-3602 |
| NPI enumerated | October 25, 2010 |
| Last updated in NPPES | November 22, 2010 |
| Mailing address | 12134 Mount Mesa Rd, Lake Isabella, CA 93240-9690 |
Other providers in Lake Isabella
-
Mr. Larry L Waggoner, DOCTOROFOPTOMETRY
12134 Mt Mesa Rd, Lake Isabella, CA 93240 · (760) 379-3602