WANDA VAUGHN (NPI# 1447387170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447387170 |
| Entity Type | Individual |
| Full Name | WANDA VAUGHN |
| Credential | O.D. |
| Practice Address |
1021 S Waldron Rd Fort Smith AR 72903-2549 |
| Practice Telephone | 4794788860 |
| Practice Fax Number | 4794788890 |
| Mailing Telephone | 4794788860 |
| Mailing Fax Number | 4794788890 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2554 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200055390A | 05 | |
| AR | 156558722 | 05 |
| Street Address |
1021 S WALDRON RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750926 | Cassandra Wood | Optometrist | 1021 S Waldron Rd, Fort Smith, AR 72903-2549 | 2020-08-16 |
| 1194203067 | Katherine Ramey | Optometrist | 1021 S Waldron Rd, Fort Smith, AR 72903-2549 | 2018-08-02 |
| 1043733744 | Cameron Fredrick Boboth | Optometrist | 1021 S Waldron Rd, Fort Smith, AR 72903 | 2017-07-25 |
| 1942326244 | Arkansas Vision Development Center Pa | Optometrist | 1021 S Waldron Rd, Fort Smith, AR 72903-2549 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942326244 | Arkansas Vision Development Center Pa | Optometrist | 1021 S Waldron Rd, Fort Smith, AR 72903-2549 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255593232 | Dr Bryan Caplinger Pa | Optometrist | 116 Nathan, Marked Tree, AR 72365 | 2008-06-30 |
| 1255332433 | Megan Jo Petty | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2005-08-10 |
| 1730556580 | Jacob Dufour | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2015-08-27 |
| 1538563895 | Vision Therapy Center of Jonesboro, P.l.l.c. | Optometrist | 3705 E Johnson Ave, Suite B, Jonesboro, AR 72401-1858 | 2014-10-15 |
| 1558427021 | Pediatric Vision Development Center Inc. | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2006-12-29 |
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on WANDA VAUGHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.