# WENDY A. WAGUESPACK, O.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wendy A. Waguespack, O.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720249162
- **Authorized official:** DR. WENDY A. WAGUESPACK O.D. (DR.)
- **Authorized official phone:** (225) 767-8495

## Contact information

- **Practice address:** 7932 PICARDY AVE STE A, BATON ROUGE, LA 70809-3741
- **Practice address phone:** (225) 767-8435
- **Practice address fax:** (225) 767-9493
- **Mailing address:** 7932 PICARDY AVE STE A, BATON ROUGE, LA 70809-3741
- **Mailing address phone:** (225) 767-8435
- **Mailing address fax:** (225) 767-9493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 874-019T | LA | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 08/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1331139 | — | LA |
| 01 | — | 2468B | BLUE CROSS | LA |
| 01 | — | 5777141 | AETNA | LA |