MR. GARY DANIEL WALDROP OPTICIAN
NPI 1861516007
Technician/Technologist - Optician in Shasta Lake, CA

Active since March 16, 2007
4601 SHASTA DAM BLVD, SHASTA LAKE, CA 96019(530) 275-8581(530) 275-8596 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Technician/Technologist
  • Optician
  • Accepts Insurance

About GARY WALDROP

This page provides the complete NPI Profile along with additional information for Gary Waldrop, a provider established in Shasta Lake, California with a medical specialization in Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1861516007 assigned on March 2007. The practitioner's primary taxonomy code is 156FX1800X with license number 141463 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1861516007 Verify this NPI
Provider Name
MR. GARY DANIEL WALDROP OPTICIAN
Gender
Male
Entity Type
Individual
Location Address
4601 SHASTA DAM BLVD SHASTA LAKE, CA 96019
Location Phone
(530) 275-8581
Location Fax
(530) 275-8596
Mailing Address
4601 SHASTA DAM BLVD SHASTA LAKE, CA 96019
Mailing Phone
(530) 275-8581
Mailing Fax
(530) 275-8596
Is Sole Proprietor?
Yes
Enumeration Date
03-16-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
License No.
141463
License State
CA
Taxonomy Description
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9419OTHER (01)CAMEDICAL EYE SERVICES
CA4661OTHER (01)CAEYE MED PROVIDER NUMBER
DX067260FMEDICAID (05)CA 
5655150001MEDICARE ID-TYPE UNSPECIFIED (04)CA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861516007, enumerated as an "individual" on March 16, 2007.

The provider is located at 4601 SHASTA DAM BLVD SHASTA LAKE, CA 96019 and the phone number is (530) 275-8581.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.