Individual
DR. DAVID A WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000125
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000125
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG000125
PA
152WP0200X
Pediatric Optometrist
OEG000125
PA
152WV0400X
Vision Therapy Optometrist
OEG000125
PA
152WX0102X
Occupational Vision Optometrist
OEG000125
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018040170003
—
PA
Enumeration date
07/18/2006
Last updated
07/25/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up