Organization
WAGNER & WAGNER PSC
Active
Other names
Wagner Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD T. WAGNER O. D. (PRESIDENT)
(270) 651-8323
Entity
Organization
Contact information
Practice address
115 COLUMBIA AVE, GLASGOW, KY 42141-2903
(270) 651-8323
(270) 651-8324
Mailing address
PO BOX 638, GLASGOW, KY 42142-0638
(270) 651-8323
(270) 651-8324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77900561
—
KY
Enumeration date
12/14/2006
Last updated
08/25/2010
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