Organization
BARRY A WAGNER OD A PROFESSIONAL CORPORATION
Active
Other names
Optometry Eye Care Centet Dr. B Wagner OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALAN WAGNER OD (OPTOMETRIST)
(818) 985-2321
Entity
Organization
Contact information
Practice address
12000 VICTORY BLVD, NORTH HOLLYWWOD, CA 91606
(818) 985-2321
(818) 985-6873
Mailing address
12000 VICTORY BLVD, NORTH HOLLYWWOD, CA 91606
(818) 985-2321
(818) 985-6873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005410
—
CA
05
—
SD0051040
—
CA
Enumeration date
05/01/2007
Last updated
10/03/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us