Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad Michael Waggoner, OD

Individual provider Optometrist · NPI 1285686139

Chad Michael Waggoner, OD is an Optometry in Providence, Rhode Island. Qualified in 2000, 26 years ago. Practices with Neil W McAllister OD PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island and Washington.

Years since qualifying
26
Licensed in
RI, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

891 Westminster St
Providence, RI 02903-4020
Phone: (401) 331-7850
Fax: (401) 274-4739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 161 W 200 N Ste 200, Saint George, UT 84770-7386 — (435) 652-4040

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTG00743 (RI)
Optometrist Taxonomy 152W00000X · Licence OD00003598 (WA)

Record details

NPI number1285686139
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023
Mailing address2915 Benjamin Ct Se, Olympia, WA 98501-4807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Neil W McAllister Od Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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