MICHAEL WAGGONER OD PA
NPI 1992021190
Health Maintenance Organization in Fayetteville, AR
About Michael Waggoner Od Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL WAGGONER OD PA (NPI 1992021190) is a healthcare organization registered as a health maintenance organization in Fayetteville, Arkansas and active in the NPI registry since April 2010. The organization lists Michael Waggoner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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.
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 Michael Waggoner Od PA's NPI number?
The NPI number for Michael Waggoner Od PA is 1992021190. It was assigned to this organization in the NPPES registry on April 13, 2010.
Where is Michael Waggoner Od PA located?
Michael Waggoner Od PA is located at 2630 E Citizens Dr Ste 6, Fayetteville, AR 72703. The listed phone number is (479) 582-1212.
What is Michael Waggoner Od PA's specialty?
The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.
When was this NPI record last updated?
The NPPES record for Michael Waggoner Od PA was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.