Individual
DR. PETER STEVEN WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978-1401
(631) 903-3348
Mailing address
16 OLD RIVERHEAD RD STE B, WESTHAMPTON BEACH, NY 11978-1401
(631) 898-5000
(631) 824-4303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009237
NY
152W00000X
Optometrist
OD60770099
WA
Other
Enumeration date
07/19/2017
Last updated
08/13/2025
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