TAYLOR LAUREN WAGGONER (OD) – Optometrist, NPI 1447764535

TAYLOR LAUREN WAGGONER (OD) is a healthcare provider. based in Richmond, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2078DT (KY). The NPI Number for TAYLOR LAUREN WAGGONER (OD) is 1447764535

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR LAUREN WAGGONER (OD)
NPI
1447764535
Phone
(859) 623-3358
Address
1020 GIBSON BAY DR
Enumeration Date
28 November 2017
Last Update Date
28 November 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8599867027
Graduation Year
2017 (9 years ago)
PAC ID
7719237734
Group Practice PAC ID
8628138229
Professional Enrollment ID
I20180912000679
Address ID
KY404039814BE854XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for TAYLOR LAUREN WAGGONER (OD)

  • Gibson Bay Drive, Richmond, Madison County, Kentucky, 40475, United States

    RICHMOND, KY 404753448

    Phone: (859) 623-3358

    Fax: (859) 623-8141

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($211).

Total Amount

$351

General + Research + Ownership

Payments

18

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180912000679IOptometryKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina1919$0
92014Established patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 40475)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628138229View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

What number should I use to identify TAYLOR LAUREN WAGGONER (OD) for billing?
Administrative and clinical systems typically use NPI 1447764535 for TAYLOR LAUREN WAGGONER (OD).
Quick check: is TAYLOR LAUREN WAGGONER (OD) active?
Public NPPES data shows TAYLOR LAUREN WAGGONER (OD) with an active NPI status right now.
Which specialty label fits TAYLOR LAUREN WAGGONER (OD)?
NPPES ties TAYLOR LAUREN WAGGONER (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAYLOR LAUREN WAGGONER (OD)?
TAYLOR LAUREN WAGGONER (OD) is associated with Richmond, Kentucky in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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