Wagner Industries, Inc. in Mystic - Optometrist

Wagner Industries, Inc. - NPI 1770750010

Wagner Industries, Inc. is a Optometrist in Mystic, Connecticut. Wagner Industries, Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wagner Industries, Inc. is 1770750010. The last update date is 2008-05-15.

Wagner Industries, Inc.'s current location address is 5 Water St, Mystic, Connecticut. You can contact this provider via phone number 8605361313. The mailing address for Wagner Industries, Inc. is 5 Water St, Mystic, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wagner Industries, Inc.
Address 5 Water St, Mystic, Connecticut
Phone Number 8605361313
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/OPTO
Authorized Official Name Wagner Jeffrey Thomas
Credentials O.D., M.S.
Telephone Number 8604055555

NPI Number Detail

NPI Number 1770750010
Provider Enumeration Date 2008-05-15
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 5 Water St
City Mystic
State Connecticut (CT)
Post Code 63552507
Phone Number 8605361313
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2282
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Wagner Industries, Inc.

What is the unique 10-digit identifier code issued to Wagner Industries, Inc. by the Centers for Medicare & Medicaid Services?

The Wagner Industries, Inc. has been assigned the NPI (National Provider Identifier) 1770750010 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Wagner Industries, Inc. is physically located?

The Wagner Industries, Inc. is physically situated at the following address: 5 Water St, Mystic, CT, 63552507.

What is Wagner Industries, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Wagner Industries, Inc.'s area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did Wagner Industries, Inc. receive its 1770750010 assignment from the Centers for Medicare & Medicaid Services?

The Wagner Industries, Inc. was assigned its 1770750010 on 2008-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Wagner Industries, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wagner Industries, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-15.

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