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LOREN C WAKHAM O.D.
NPI 1275683104
Optometrist in Victoria, TX

Active since January 11, 2007PECOS Enrolled
505 E MOCKINGBIRD LN, VICTORIA, TX 77904(361) 578-2904(361) 578-7931 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loren C Wakham O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOREN C WAKHAM O.D. (NPI 1275683104) is an individual optometrist in Victoria, Texas, licensed in Texas (3433T) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275683104
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLOREN C WAKHAMCredential: O.D.
Location Address505 E MOCKINGBIRD LNVictoria, TX 77904-2043
Mailing Address505 E Mockingbird LnVictoria, TX 77904-2043 · (361) 578-2904 · Fax (361) 578-7931
Phone(361) 578-2904
Fax(361) 578-7931
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 27, 2013
✔ NPI 1275683104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 3433T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
505 E MOCKINGBIRD LN, Victoria, TX 77904
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Other Identifiers 4

Medicare NSC0455360001TX
Medicare PIN80293ETX
Medicare UPINT16444TX
Medicaid037012401TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loren C Wakham O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHEILA ANN NEWLAND O.D.
Optometrist
505 E MOCKINGBIRD LN
VICTORIA, TX 77904
Victoria County (361) 578-2904
ALLISON EYE CARE, PLLC
Optometrist
505 E MOCKINGBIRD LN
VICTORIA, TX 77904
Victoria County (361) 578-2904
BATES & HARRIS O D INC
Optometrist
505 E MOCKINGBIRD LN
VICTORIA, TX 77904
Victoria County (361) 578-2904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loren Wakham's NPI number?

The NPI number for Loren Wakham is 1275683104. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Loren Wakham located?

Loren Wakham practices at 505 E Mockingbird Ln, Victoria, TX 77904. The listed phone number is (361) 578-2904.

What is Loren Wakham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Loren Wakham enrolled in Medicare?

Yes. Loren Wakham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loren Wakham was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.