LOREN C WAKHAM (NPI# 1275683104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275683104 |
| Entity Type | Individual |
| Full Name | LOREN C WAKHAM |
| Credential | O.D. |
| Practice Address |
505 E Mockingbird Ln Victoria TX 77904-2043 |
| Practice Telephone | 3615782904 |
| Practice Fax Number | 3615787931 |
| Mailing Telephone | 3615782904 |
| Mailing Fax Number | 3615787931 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3433T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 037012401 | 05 |
| Street Address |
505 E MOCKINGBIRD LN |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417973280 | Bates & Harris O D Inc | Optometrist | 505 E Mockingbird Ln, Victoria, TX 77904-2043 | 2006-07-14 |
| 1376088088 | Allison Eye Care, Pllc | Optometrist | 505 E Mockingbird Ln, Victoria, TX 77904-2043 | 2017-01-04 |
| 1063595700 | Sheila Ann Newland | Optometrist | 505 E Mockingbird Ln, Victoria, TX 77904-2043 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| 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 |
|---|---|---|---|---|
| 1851872360 | Rachael Mcgee | Optometrist | 1505 E Rio Grande St Ste 150, Victoria, TX 77901-7397 | 2018-08-23 |
| 1285127845 | Esther Sheau Harn Yew | Optometrist | 8806 N Navarro St Ste 300, Victoria, TX 77904-1560 | 2018-06-08 |
| 1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
| 1053867234 | Jimmy Deng | Optometrist | 8306 N Navarro St Ste B, Victoria, TX 77904-2600 | 2016-08-29 |
| 1306269014 | Caia D. Homerstad Od Pllc | Optometrist | 7508 N Navarro St, Victoria, TX 77904-2654 | 2014-01-31 |
| 1447530225 | Sidra Khalid | Optometrist | 7800 N Navarro St Ste 223, Victoria, TX 77904-2699 | 2011-08-24 |
| 1609156835 | Kelsey Marie Keltgen | Optometrist | 7940 Victoria Dr, Ste 103, Victoria, MN 55386-7728 | 2011-08-19 |
| 1639358229 | Faye Nicole Tupa | Optometrist | 3804 John Stockbauer Dr Ste A, Victoria, TX 77904-2460 | 2007-10-30 |
| 1285859835 | Pamela Ann Oakley | Optometrist | 2407 N Navarro St, Victoria, TX 77901-4832 | 2007-04-16 |
| 1033273719 | Terry Sue Schneider | Optometrist | 6801 N. Navarro Suite B, Victoria, TX 77904-1511 | 2006-12-20 |
| Find all providers in VICTORIA | ||||
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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.