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

Individual provider Optometrist · NPI 1639185341

Dr. Michael Waggoner, OD is an Optometry in Fayetteville, Arkansas. Graduated from Southern College of Optometry in 1992, 34 years ago. Practices with Focused Family Eye Care PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
34
Trained at
Southern College of Optometry
Licensed in
AR
In the registry since
2006
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

2630 E Citizens Dr Ste 6
Fayetteville, AR 72703-4797
Phone: (479) 582-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence AR2411 (AR)

Record details

NPI number1639185341
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESSeptember 26, 2013
Mailing address2630 E Citizens Dr Ste 6, Fayetteville, AR 72703-4797

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1992 (34 years in practice)
Group practice Focused Family Eye Care Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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