Active NPI
Perry M Waggoner MD LTD
- Plastic Surgery Physician
- Reno, NV
National Provider Identifier
1609896521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD7268
- Legal business name
- PERRY M WAGGONER MD LTD
- Doing business as
- Nevada Centre Eye Plastic Surgery
- Practice address
- 650 Sierra Rose Dr
Suite B
Reno, NV 89511-2072 - Phone
- (775) 322-3311
- Fax
- (775) 322-8388
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Perry Mims Waggoner Jr., MD
- Title
- President
- Phone
- (775) 322-3311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD7268 | NV | |
| Plastic Surgery Physician | 208200000X | MD7268 | NV | Primary |
Addresses
Primary practice location
650 Sierra Rose Dr
Suite B
Reno, NV 89511-2072
Mailing address
650 Sierra Rose Dr
Suite B
Reno, NV 89511-2072
Phone (775) 322-3311
Other names 1
- Nevada Centre Eye Plastic Surgery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1609896521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 SIERRA ROSE DR",
"address_2": "SUITE B",
"city": "RENO",
"state": "NV",
"postal_code": "895112072",
"telephone_number": "775-322-3311",
"fax_number": "775-322-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 SIERRA ROSE DR",
"address_2": "SUITE B",
"city": "RENO",
"state": "NV",
"postal_code": "895112072",
"telephone_number": "775-322-3311",
"fax_number": "775-322-8388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY M WAGGONER MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WAGGONER",
"authorized_official_first_name": "PERRY",
"authorized_official_middle_name": "MIMS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-322-3311",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NV",
"license": "MD7268",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NV",
"license": "MD7268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Centre Eye Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.