| Chad Michael Waggoner, OD | |
|
891 Westminster St, Providence, RI 02903-4020 | |
| (401) 331-7850 | |
| (401) 274-4739 |
| Full Name | Chad Michael Waggoner |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 24 Years |
| Location | 891 Westminster St, Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285686139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD00003598 (Washington) | Secondary |
| 152W00000X | Optometrist | ODTG00743 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westminster Eyecare Associates Inc | 6305804907 | 11 |
| Provider Name | Westminster Eyecare Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538266804 PECOS PAC ID: 6305804907 Enrollment ID: O20041229000577 |
| Provider Name | College Hill Eye And Optical Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922661685 PECOS PAC ID: 0547503005 Enrollment ID: O20190524000319 |
| Provider Name | Smithfield Eye & Optical Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073116240 PECOS PAC ID: 3072925999 Enrollment ID: O20201218000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Michael Waggoner, OD 2915 Benjamin Ct Se, Olympia, WA 98501-4807 Ph: (360) 754-2817 | Chad Michael Waggoner, OD 891 Westminster St, Providence, RI 02903-4020 Ph: (401) 331-7850 |
Dr. Robert Mitchell Thacker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1466 Broad St, Providence, RI 02905 Phone: 401-941-6221 Fax: 401-941-6227 | |
Rhode Island Eye Institute Optometrist Medicare: Medicare Enrolled Practice Location: 150 E Manning St, Providence, RI 02906 Phone: 401-272-2020 | |
Eye Care Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 740 N Main St, Providence, RI 02904 Phone: 401-272-8282 Fax: 401-272-8284 | |
Eyediology Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 309, Providence, RI 02906 Phone: 732-668-9571 | |
East Side Vision Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Thayer St, Providence, RI 02906 Phone: 401-421-4500 Fax: 401-421-3876 | |
Stephanie Sturgis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 891 Westminster St, Providence, RI 02903 Phone: 401-331-7850 Fax: 401-274-4739 | |
Koch Eye Associates,llp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 55 Dorrance St, Providence, RI 02903 Phone: 401-861-0220 Fax: 401-861-0079 |