Vaughn, Wanda
Vaughn, Wanda is an individual health care provider with primary practice located at 1021 S Waldron Rd , Fort Smith AR 72903-2549. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Vaughn, Wanda can be contacted via phone (479) 478-8860.Contact Information
Primary practice address
1021 S Waldron Rd
Fort Smith AR 72903-2549
Phone: (479) 478-8860
Fax: (479) 478-8890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2554 | Arkansas |
Profile Details
| NPI number | 1447387170 |
|---|---|
| LBN Legal business name | Vaughn, Wanda |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Aug 4th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447387170 | NPPES |
| Oklahoma | MEDICAID | 200055390A | |
| Oklahoma | MEDICAID | 156558722 |
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