Individual
DR. WENDY A WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7932 PICARDY AVE, SUITE A, BATON ROUGE, LA 70809-3535
(225) 767-8495
(225) 767-9493
Mailing address
7932 PICARDY AVE, SUITE A, BATON ROUGE, LA 70809-3535
(225) 767-8495
(225) 767-9493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
874019T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331139
—
LA
01
—
2468B
BLUE CROSS
LA
01
—
5777141
AETNA
LA
Enumeration date
12/08/2006
Last updated
07/08/2007
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