| Optimystic Llc | |
|
12 Roosevelt Ave, Mystic, CT 06355-2809 | |
| (860) 536-1313 | |
| (860) 572-7770 |
| Full Name | Optimystic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12 Roosevelt Ave, Mystic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679107411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Thomas J Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114993789 PECOS PAC ID: 1456450907 Enrollment ID: I20070623000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimystic Llc 12 Roosevelt Ave, Mystic, CT 06355-2809 Ph: (860) 536-1313 | Optimystic Llc 12 Roosevelt Ave, Mystic, CT 06355-2809 Ph: (860) 536-1313 |
Mrs. Laura Ann White, OTRL Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Dr, Visions Sight And Learning Center, Mystic, CT 06355 Phone: 860-572-4805 Fax: 860-572-4810 | |
Totalvision Eye Health Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12 Coogan Blvd, Mystic, CT 06355 Phone: 860-848-8777 Fax: 860-848-3388 | |
Dr. Thomas Jeffrey Wagner, OD MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12 Roosevelt Ave, Mystic, CT 06355 Phone: 860-536-1313 Fax: 860-572-7770 | |
Optimystic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5 Water St, C/o Optimystic, Mystic, CT 06355 Phone: 860-536-1313 | |
Visions Sight & Learning Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Drive, Mystic, CT 06355 Phone: 860-572-4805 Fax: 860-572-4810 |