Loren C Wakham Jr. (NPI# 1275683104, PAC ID# 8123006640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275683104 |
| PAC ID by PECOS | 8123006640 |
| Professional Enrollment ID | I20111220000757 |
| Full Name | Loren C Wakham Jr. |
| Organization Legal Name | BATES AND HARRIS OD INC |
| Address |
505 E Mockingbird Victoria TX 77904-2043 |
| Phone Number | 5125782904 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1976 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9537059514 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 505 E Mockingbird, Victoria, TX 77904-2043 | 5125782904 | BATES AND HARRIS OD INC |
| 505 E Mockingbird Lane, Victoria, TX 77904-2043 | 3615782904 | ALLISON EYE CARE PLLC |
| Organization Legal Name | BATES AND HARRIS OD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila Newland | Optometry | Bates and Harris Od Inc | 505 E Mockingbird, Victoria, TX 77904-2043 |
| Street Address |
505 E MOCKINGBIRD |
| City | VICTORIA |
| State | TX |
| Zip | 77904-2043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila Newland | Optometry | Bates and Harris Od Inc | 505 E Mockingbird, Victoria, TX 77904-2043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela R Covarrubias | Nurse Practitioner | Gulf Bend Mental Health Mental Retardation Center | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 |
| Athena Bevette Baldwin | Physician Assistant | Gulf Bend Mhmr Center | 6502 Nursery Dr, Victoria, TX 77904-1178 |
| Craig G Chang | General Surgery | 6502 Nursery Dr, Suite 300, Victoria, TX 77904-1181 | |
| Lucy T Holder | Clinical Social Worker | 506 Glascow St, Victoria, TX 77904-1406 | |
| Thuyhong T Dang | Optometry | Td Eyecare, Pllc | 8806 N Navarro St, Suite 300, Victoria, TX 77904-1560 |
| Esther Sheau Harn Yew | Optometry | Td Eyecare, Pllc | 8806 N Navarro St, Suite 300, Victoria, TX 77904-1560 |
| Oanh N Tran | Optometry | Td Eyecare, Pllc | 8806 N Navarro St, Suite 300, Victoria, TX 77904-1560 |
| Jennifer Burris | Nurse Practitioner | Regional Employee Assistance Program Inc | 9006 N Navarro St, Suite B, Victoria, TX 77904-1566 |
| Irma Mickle | Nurse Practitioner | Regional Employee Assistance Program Inc | 9006 N Navarro St, Suite B, Victoria, TX 77904-1566 |
| Sheila Browning | Nurse Practitioner | Regional Employee Assistance Program Inc | 9006 N Navarro St, Suite B, Victoria, TX 77904-1566 |
| Find all physicians in zip 77904 | |||
| City | VICTORIA |
| Zip Code | 77904 |
| Specialty | OPTOMETRY |
| City + Specialty | VICTORIA + OPTOMETRY |
Please comment or provide details below to improve the information on Loren C Wakham Jr..
| 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.