OrganizationActive
Larry E Waggoner O D Prof Corp
NPI 1336449388 · Optometrist · Lake Isabella, CA
Larry E Waggoner O D Prof Corp is a Optometrist organization in Lake Isabella, CA (NPI 1336449388).
Provider details
- NPI number
- 1336449388
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Larry Waggoner, Owner/Optometrist(760) 379-3602
- License
- 6133 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12134 Mount Mesa Rd
Lake Isabella, CA 93240-9690
Phone: (760) 379-3602
Fax: (760) 379-2232
Street-level locationGet directions
Mailing address
12134 Mount Mesa Rd
Lake Isabella, CA 93240-9690
Registry dates
- Enumerated
- 2010-10-25
- Last updated
- 2010-11-22
Frequently asked questions
- What is Larry E Waggoner O D Prof Corp's NPI number?
- Larry E Waggoner O D Prof Corp's National Provider Identifier (NPI) is 1336449388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larry E Waggoner O D Prof Corp?
- Larry E Waggoner O D Prof Corp is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Larry E Waggoner O D Prof Corp located?
- Larry E Waggoner O D Prof Corp's practice location on file with NPPES is 12134 Mount Mesa Rd, Lake Isabella, CA 93240-9690.
- What is Larry E Waggoner O D Prof Corp's phone number?
- The practice phone number listed in the NPPES registry for Larry E Waggoner O D Prof Corp is (760) 379-3602.
- Who is the authorized official for Larry E Waggoner O D Prof Corp?
- The authorized official listed on Larry E Waggoner O D Prof Corp's NPPES record is Larry Waggoner, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larry E Waggoner O D Prof Corp's NPI active?
- Yes — Larry E Waggoner O D Prof Corp's NPI (1336449388) is active in the NPPES registry as of the last update on 2010-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.