MR. GARY DANIEL WALDROP OPTICIAN NPI 1861516007

NPI Information

  • NPI: 1861516007
  • Provider Name: MR. GARY DANIEL WALDROP, OPTICIAN
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 4601 SHASTA DAM BLVD
    SHASTA LAKE, CA
    ZIP 96019
  • Phone: (530) 275-8581

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NPI Details

MR. Gary Daniel Waldrop, OPTICIAN is an optician technician technologist in Shasta Lake, CA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Gary Daniel Waldrop, OPTICIAN NPI is 1861516007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4601 SHASTA DAM BLVD
SHASTA LAKE, CA
ZIP 96019-413
Phone: (530) 275-8581
Fax: (530) 275-8596

The enumeration date for this NPI number is 3/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician141463CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19419OTHERCALIFORNIAMEDICAL EYE SERVICES
2CA4661OTHERCALIFORNIAEYE MED PROVIDER NUMBER
3DX067260FMEDICAIDCALIFORNIA
45655150001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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