Individual
WANDA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1021 S WALDRON RD, FORT SMITH, AR 72903-2549
(479) 478-8860
(479) 478-8890
Mailing address
1021 S WALDRON RD, FORT SMITH, AR 72903-2549
(479) 478-8860
(479) 478-8890
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2554
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156558722
—
AR
05
—
200055390A
—
OK
Enumeration date
02/28/2007
Last updated
04/16/2025
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