Ellen Rogers Wagner in Jacksonville - Optometrist
Ellen Rogers Wagner - NPI 1316987753
Ellen Rogers Wagner is a Optometrist in Jacksonville, Florida. Ellen Rogers Wagner practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ellen Rogers Wagner is 1316987753. The last update date is 2018-01-05.
Ellen Rogers Wagner's current location address is 806 Riverside Ave, Jacksonville, Florida. You can contact this provider via phone number 9043567101 and fax number 9043567947. The mailing address for Ellen Rogers Wagner is 806 Riverside Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Rogers Wagner |
|---|---|
| Address | 806 Riverside Ave, Jacksonville, Florida |
| Phone Number | 9043567101 |
| Fax Number | 9043567947 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1316987753 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2018-01-05 |
Provider Mailing Address Detail
| Address | 806 Riverside Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322043337 |
| Phone Number | 9043567101 |
| Fax Number | 9043567947 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2306 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20361 | FL | BCBS | |
| 20361A | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Ellen Rogers Wagner by the Centers for Medicare & Medicaid Services?
The Ellen Rogers Wagner has been issued the NPI (National Provider Identifier) 1316987753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ellen Rogers Wagner is geographically located?
The Ellen Rogers Wagner is physically situated at the following location: 806 Riverside Ave, Jacksonville, FL, 322043337.
What is the area of specialization for Ellen Rogers Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellen Rogers Wagner is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did Ellen Rogers Wagner receive its 1316987753 assignment?
The Ellen Rogers Wagner was assigned its 1316987753 on 2006-06-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Ellen Rogers Wagner most recently updated or revised?
The information pertaining to Ellen Rogers Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-05.