MR. LARRY L WAGGONER DOCTOR OF OPTOMETRY
NPI 1710065727
Optometrist in Lake Isabella, CA

Q: What is Larry Waggoner's NPI number?

The NPI number for Larry Waggoner is 1710065727. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Larry Waggoner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larry Waggoner was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 01, 2006PECOS Enrolled

12134 MT MESA RD, LAKE ISABELLA, CA 93240(760) 379-3602(760) 379-2232 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Larry L Waggoner Doctor Of Optometry NPPES

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

MR. LARRY L WAGGONER DOCTOR OF OPTOMETRY (NPI 1710065727) is an individual optometrist in Lake Isabella, California, licensed in California (6133T) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710065727

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. LARRY L WAGGONERCredential: DOCTOR OF OPTOMETRY

Location Address12134 MT MESA RDLake Isabella, CA 93240

Mailing Address12134 Mt Mesa RdLake Isabella, CA 93240 · (760) 379-3602 · Fax (760) 379-2232

Phone(760) 379-3602

Fax(760) 379-2232

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 23, 2010

✔ NPI 1710065727 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 CA · 6133T

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.

12134 MT MESA RD, Lake Isabella, CA 93240

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Other Identifiers 1

Medicare UPINT10240

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Larry L Waggoner Doctor Of Optometry 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 93240 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

$135.05 typical visit price

range $59.26 – $178.09

Typical copayment $33.76 (range $14.81 – $44.52)

Most-billed visit code 99204

Established Patient

$73.67 typical visit price

range $19.34 – $145.64

Typical copayment $18.41 (range $4.83 – $36.41)

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.

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 Larry Waggoner's NPI number?

The NPI number for Larry Waggoner is 1710065727. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Larry Waggoner located?

Larry Waggoner practices at 12134 Mt Mesa Rd, Lake Isabella, CA 93240. The listed phone number is (760) 379-3602.

What is Larry Waggoner's specialty?

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

Is Larry Waggoner enrolled in Medicare?

Yes. Larry Waggoner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Waggoner was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.