Waldron Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001279 Issued in VA

Legal business name

WALDRON EYECARE

Practice address

4630 Monticello Ave
Williamsburg, VA 23188-8200

Phone

(757) 253-7901

Fax

(757) 253-7928

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Laureen Goddard Waldron, O.D.NPI 1083798391

Title

President

Phone

(757) 253-7901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laureen Goddard Waldron, O.D.

  • Optometrist
  • Williamsburg, VA
  • NPI 1083798391
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1104362680",
    "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": {
        "organization_name": "WALDRON EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "LAUREEN",
        "authorized_official_middle_name": "GODDARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-253-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Wahba, DDS
• Katie Wahlstrom
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Laureen Goddard Waldron, O.D.
• Jodian Walford
• Walgreen Co
• Meenal Kaur Walia, PA-C
• Jennifer Cross Walk

• All providers in Williamsburg, VA
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.