Robert Luke Wagoner in Dover - Optometrist

Robert Luke Wagoner - NPI 1568551265

Robert Luke Wagoner is a Optometrist in Dover, Delaware. Robert Luke Wagoner practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Robert Luke Wagoner is 1568551265. The last update date is 2010-11-16.

Robert Luke Wagoner's current location address is 885 S Governors Ave, Dover, Delaware. You can contact this provider via phone number 3027345861 and fax number 3027341921. The mailing address for Robert Luke Wagoner is 885 S Governors Ave, Dover, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Luke Wagoner
Address 885 S Governors Ave, Dover, Delaware
Phone Number 3027345861
Fax Number 3027341921
Sole Proprietor N
Credentials O. D.

NPI Number Detail

NPI Number 1568551265
Provider Enumeration Date 2006-10-12
Last Updated Date 2010-11-16

Provider Mailing Address Detail

Address 885 S Governors Ave
City Dover
State Delaware (DE)
Post Code 199044158
Phone Number 3027345861
Fax Number 3027341921

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 13-0001302
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11534593 DE CAQH
1568551265 DE NPI
1245251313 GROUP NPI
G00016 MEDICARE GROUP PIN
018775H16 MEDICARE PTAN
161525705 DE BCBS
I3-0001302 DE LICENSE
1000039008 DE --

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FAQs about Robert Luke Wagoner

What is the unique 10-digit identification code issued to Robert Luke Wagoner by the Centers for Medicare & Medicaid Services?

The Robert Luke Wagoner has been assigned the NPI (National Provider Identifier) 1568551265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Robert Luke Wagoner located?

The Robert Luke Wagoner is located at 885 S Governors Ave, Dover, DE 199044158.

What is the area of specialization for Robert Luke Wagoner, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Luke Wagoner is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

When did the Robert Luke Wagoner receive its 1568551265?

The Robert Luke Wagoner was issued its 1568551265 on 2006-10-12, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Robert Luke Wagoner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Robert Luke Wagoner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-16.

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