Laureen Goddard Waldron, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001279 Issued in VA

Practice address

4630 Monticello Ave
Williamsburg, VA 23188-8200

Phone

(757) 253-7901

Fax

(757) 253-7928

NPI assigned

Oct 24, 2006

Last updated

Jan 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waldron Eyecare

  • Optometrist
  • Williamsburg, VA
  • NPI 1104362680
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1083798391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6653",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885227",
            "telephone_number": "757-253-7901",
            "fax_number": "757-253-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888200",
            "telephone_number": "757-253-7901",
            "fax_number": "757-253-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "LAUREEN",
        "middle_name": "GODDARD",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Wahlstrom
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5754)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3219)
• Wal-Mart Stores East, LP (Vision Center 30-3219)
• Waldron Eyecare
• Jodian Walford
• Walgreen Co (Walgreens #09975)
• Meenal Kaur Walia, PA-C
• Jennifer Cross Walk
• Beverly M Walker, PHARMD

• Optometrist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.