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WAGNER OPTOMETRY PC NPI 1063561587


NPI Information

NPI: 1063561587
Provider Name: WAGNER OPTOMETRY PC

Doing Business As: FAMILY VISION CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 06D2235530

Address:
10071 WADSWORTH PKWY
STE. 200
WESTMINSTER, CO
ZIP 80021
Phone: (303) 427-2020
Get Directions

WAGNER OPTOMETRY PC is an optometrist in Westminster, CO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. WAGNER OPTOMETRY PC NPI is 1063561587. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Vision Center.

The provider's business location address is:

10071 WADSWORTH PKWY
STE. 200
WESTMINSTER, CO
ZIP 80021-804
Phone: (303) 427-2020
Fax: (303) 427-6197

The provider's authorized official is Robert H. Wagner .
The authorized official title is Owner and has the following contact phone number (303) 427-2020.

The CLIA number assigned to this NPI record is 06D2235530 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 12/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist18-11667-0000COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U59947MEDICARE UPINCOLORADO
21790748903OTHERCOLORADONPI
31477515385OTHERCOLORADONPI
4U69676MEDICARE UPINCOLORADO
5C530138MEDICARE PINCOLORADO
6U62598MEDICARE UPINCOLORADO
75461250001MEDICARE NSCCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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