MICHAEL WAGGONER OD PA
Managed Care Organizations at Citizens Dr, Fayetteville, AR

License number
Arkansas 2411
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MICHAEL WAGGONER
Title: OWNER
Phone: (479) 582-1212
Address
Address
2630 E Citizens Dr STE 6, Fayetteville, AR 72703
National Provider ID: 1992021190
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MICHAEL WAGGONER OD PA at bizstanding.com

MICHAEL WAGGONER, O.D., PA

Fayetteville, AR

Industry:
Offices of Optometrists
Doing business as:
FOCUSED FAMILY EYECARE
Registration:
Apr 26, 1999
Site:
focusedfamilyeyecare.com
Phone:
(479) 582-1212 (Phone)
Addresses:
2630 E Citizen's Dr STE #6, Fayetteville, AR 72703 (Physical)
2630 E Citizens Dr STE 6, Fayetteville, AR 72703
Office Mangers:
Michael V. Mauldin (Tax Preparer),Michael L. Waggoner (President),Mike Waggoner (Secretary),...
SIC:
8042 - Offices and Clinics of Optometrists
Company size:
1

Managed Care Organizations licenses in Arkansas



Other Doctors licenses in Arkansas