Wanda Vaughn, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

2554 Issued in AR

Practice address

1021 S Waldron Rd
Fort Smith, AR 72903-2549

Phone

(479) 478-8860

Fax

(479) 478-8890

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Vision Development Center PAGroup PAC ID 3072564814, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Arkansas Vision Development Center PA

  • Vision Therapy Optometrist
  • Fort Smith, AR
  • NPI 1942326244
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1447387170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032549",
            "telephone_number": "479-478-8860",
            "fax_number": "479-478-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032549",
            "telephone_number": "479-478-8860",
            "fax_number": "479-478-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "WANDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AR",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055390A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156558722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Varnadore, QBHP
• Sitt Sak Vatthanatham, PHARMD
• Ashley Gayle Vaughan, NURSE PRACTITIONER
• Lorelei Vaughan, LMT
• Heather Vaughn, LMSW
• Clifton Wayne Veatch, CRNA
• Chelsie Lynn Velikovsky, M.D.
• Christopher Michael Vendel, M.S. CCC-SLP
• Vent S Murphy DDS Ms PLLC
• Vera Whole Health Wa, PC

• Vision Therapy Optometrist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Vision Therapy Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.