WILLIAM W WAGNON MD PA
NPI 1619192192
Ophthalmology in Lufkin, TX
About William W Wagnon Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM W WAGNON MD PA (NPI 1619192192) is a healthcare organization registered as an ophthalmology in Lufkin, Texas and active in the NPI registry since April 2007. The organization lists William W Wagnon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William W Wagnon Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to William W Wagnon MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 William W Wagnon MD PA's NPI number?
The NPI number for William W Wagnon MD PA is 1619192192. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is William W Wagnon MD PA located?
William W Wagnon MD PA is located at 2801 S John Redditt Dr Suite B, Lufkin, TX 75904. The listed phone number is (936) 632-6111.
What is William W Wagnon MD PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is William W Wagnon MD PA enrolled in Medicare?
Yes. William W Wagnon MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William W Wagnon MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to William W Wagnon MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for William W Wagnon MD PA was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# William W Wagnon Md Pa · NPI 1619192192
Ophthalmology organization in Lufkin, Texas. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1619192192 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** Yes (part of William W. Wagnon Md Pa)
- **Authorized official:** William Wagnon, OWNER
## Practice location
- **Address:** 2801 S JOHN REDDITT DR, SUITE B, Lufkin, TX 75904-5666
- **Phone:** (936) 632-6111 · **Fax:** (936) 632-9182
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2015
- **Other identifiers:** Medicare UPIN B27392 (TX); Other 1902895345 (TX); Medicaid 093898701 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1619192192) · Data from the CMS NPPES public registry.