Individual
PAUL WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PLC
Contact information
Practice address
2955 W. ELLIOT RD., SUITE 1, CHANDLER, AZ 85224
(480) 838-4044
(480) 838-4072
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
587
AZ
152W00000X
Optometrist
Primary
OPT-000587
AZ
Other
Enumeration date
12/29/2006
Last updated
03/23/2026
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