Organization
WAGNER OPTOMETRY PC
Active
Other names
FAMILY VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H. WAGNER O.D. (OWNER)
(303) 427-2020
Entity
Organization
Contact information
Practice address
10071 WADSWORTH PKWY, STE. 200, WESTMINSTER, CO 80021-3804
(303) 427-2020
(303) 427-6197
Mailing address
10071 WADSWORTH PKWY, STE. 200, WESTMINSTER, CO 80021-3804
(303) 427-2020
(303) 427-6197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18-11667-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477515385
NPI
CO
01
—
1790748903
NPI
CO
Enumeration date
01/10/2007
Last updated
12/02/2009
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