Organization Active NPI

Wendy a. Waguespack, O.D., Inc.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1720249162
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
874-019T Issued in LA
Legal business name
WENDY A. WAGUESPACK, O.D., INC.
Practice address
7932 Picardy Ave Ste a
Baton Rouge, LA 70809-3741
Phone
(225) 767-8435
Fax
(225) 767-9493
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Wendy A. Waguespack, O.D.NPI 1447319058
Title
Dr.
Phone
(225) 767-8495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 874-019T LA Primary

Addresses

Primary practice location

7932 Picardy Ave Ste a
Baton Rouge, LA 70809-3741

Mailing address

7932 Picardy Ave Ste a
Baton Rouge, LA 70809-3741
Phone (225) 767-8435

Other identifiers 3

IdentifierTypeStateIssuer
1331139MedicaidLA
5777141OtherLAAETNA
2468BOtherLABLUE CROSS

Other names 1

  • Wendy A. Waguespack, O.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080716000113 LA Part B Supplier - Clinic/Group Practice 9335212984 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2061897Wendy a Waguespack, O D7932 Picardy Ave, Suite a, Baton Rouge, LA 70809Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory

Locations

7932 Picardy Ave
Ste A
Baton Rouge, LA 70809
Phone (225) 767-8435

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1720249162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 PICARDY AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093741",
            "telephone_number": "225-767-8435",
            "fax_number": "225-767-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 PICARDY AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093741",
            "telephone_number": "225-767-8435",
            "fax_number": "225-767-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY A. WAGUESPACK, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "WAGUESPACK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "225-767-8495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "874-019T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1331139",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5777141",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2468B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy A. Waguespack, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.