Chad M Waggoner (NPI# 1285686139, PAC ID# 9335153949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1285686139 |
| PAC ID by PECOS | 9335153949 |
| Professional Enrollment ID | I20060203000070 |
| Full Name | Chad M Waggoner |
| Organization Legal Name | EYE PHYSICIANS OF OLYMPIA INC PS |
| Address |
345 College St Se Suite C Lacey WA 98503-1014 |
| Phone Number | 3604563200 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8123916962 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 345 College St Se, Suite C, Lacey, WA 98503-1014 | 3604563200 | EYE PHYSICIANS OF OLYMPIA INC PS |
| Organization Legal Name | EYE PHYSICIANS OF OLYMPIA INC PS |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane Suechung Myung | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Gary Neal Scholes | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se C, Clarus Eye Centre, Lacey, WA 98503-1013 |
| Tapuwa Lamoore Chikwinya | Optometry | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Stephen D Reck | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Jay C Rudd | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Grant Douglas Aaker | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Penporn Vongsvivut Reck | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Heather L Muehler | Optometry | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Street Address |
345 COLLEGE ST SE SUITE C |
| City | LACEY |
| State | WA |
| Zip | 98503-1014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane Suechung Myung | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Tapuwa Lamoore Chikwinya | Optometry | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Stephen D Reck | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Jay C Rudd | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Grant Douglas Aaker | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Penporn Vongsvivut Reck | Ophthalmology | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Heather L Muehler | Optometry | Eye Physicians of Olympia Inc Ps | 345 College St Se, Suite C, Lacey, WA 98503-1014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monique Cherri Semien | Hematology/oncology | Providence Health and Services Washington | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 |
| Robyn Bell Vera | Radiation Oncology | Radiantcare Physicians Pllc | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 |
| Justin William Suszko | Radiation Oncology | Radiantcare Physicians Pllc | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 |
| Nora J Gant | Nurse Practitioner | Providence Health and Services Washington | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 |
| John D O'boyle | Gynecological Oncology | Providence Health and Services Washington | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 |
| Larisa G Raastad | Family Medicine | Providence Health and Services Washington | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 |
| Jocelyn Torres De Yao | Medical Oncology | Providence Health and Services Washington | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 |
| Mary Lane | Nurse Practitioner | Providence Health and Services Washington | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 |
| Haleigh A Werner | Radiation Oncology | Radiantcare Physicians Pllc | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 |
| Gregory W Allen | Radiation Oncology | Radiantcare Physicians Pllc | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 |
| Find all physicians in zip 98503 | |||
| City | LACEY |
| Zip Code | 98503 |
| Specialty | OPTOMETRY |
| City + Specialty | LACEY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.