Organization Active NPI

Perry M Waggoner MD LTD

  • Plastic Surgery Physician
  • Reno, NV
National Provider Identifier
1609896521
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD7268 Issued in NV
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD7268 NV
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.