DR. CLARENCE LOUIS WIDMANN (NPI# 1922010800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922010800 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE LOUIS WIDMANN |
| Credential | O.D. |
| Practice Address |
533 Westview Vlg Waco TX 76710-5234 |
| Practice Telephone | 2547763937 |
| Practice Fax Number | 2547766810 |
| Mailing Telephone | 2547763937 |
| Mailing Fax Number | 2547766810 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3751TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 093402802 | 05 |
| Street Address |
533 WESTVIEW VLG |
| City | WACO |
| State | TX |
| Zip Code | 76710-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602382 | Stacie Layne Virden Od Pa | Optometrist | 1000 W State Highway 6 Ste 210, Waco, TX 76712-3788 | 2019-07-30 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1063959666 | Daniel & Max, LLC | Optometrist | 5001 W Waco Dr, Waco, TX 76710-7021 | 2017-01-21 |
| 1154585180 | Ethelred Enterprises, LLC. | Optometrist | 614 N New Rd # 6035, Waco, TX 76710-6035 | 2008-07-18 |
| 1003022344 | Crystal Clear Optical P.C. | Optometrist | 190 N New Rd, Waco, TX 76710-6930 | 2007-05-15 |
| 1437261500 | Paul Edward Puntney | Optometrist | 6001 W Waco Dr Ste 106, Waco, TX 76710-6301 | 2006-08-31 |
| 1982711610 | Herman H Gerdes IIi | Optometrist | 4949 Franklin Ave, Waco, TX 76710-6900 | 2006-08-25 |
| 1497794192 | Spencer V Moore | Optometrist | 1215 Lake Air Dr, Waco, TX 76710-4419 | 2006-06-06 |
| 1215927264 | David Cannon Fram | Optometrist | 2301 E Waco Dr, Waco, TX 76705-3207 | 2005-10-21 |
| 1265057202 | Rebekah Leigh Sanders | Optometrist | 1000 W State Highway 6 Ste 210, Waco, TX 76712-3788 | 2020-06-16 |
| Find all providers in WACO | ||||
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| 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.