Bruce Wagner, OD is a
Optometrist based in Monarch Beach, California. Bruce Wagner is licensed to practice in California (license number 6376) and her current practice location is
24040 Camino Del Avion Ste E, Monarch Beach, California. She can be reached at her office (for appointments etc.) via phone at
(949) 443-9110.
NPI number for Bruce Wagner is 1053434035 and her current mailing address is 24040 Camino Del Avion Ste E, Monarch Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053434035.
Healthcare Provider's Profile
Full Name | Bruce Wagner |
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Gender | Female |
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Speciality | Optometrist |
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Location | 24040 Camino Del Avion Ste E, Monarch Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053434035
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bruce Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053434035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 6376 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bruce Wagner, OD 24040 Camino Del Avion Ste E, Monarch Beach, CA 92629-4005 Ph: (949) 443-9110 | Bruce Wagner, OD 24040 Camino Del Avion Ste E, Monarch Beach, CA 92629-4005 Ph: (949) 443-9110 |
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