Optometry Eye Care Centet Dr. B Wagner Od is a
Optometrist based in North Hollywwod, California. Optometry Eye Care Centet Dr. B Wagner Od is licensed to practice in California (license number ) and their current practice location is
12000 Victory Blvd, North Hollywwod, California. It can be reached at their office (for appointments etc.) via phone at
(818) 985-2321.
NPI number for Optometry Eye Care Centet Dr. B Wagner Od is 1881815777 and their current mailing address is 12000 Victory Blvd, North Hollywwod, California. Optometry Eye Care Centet Dr. B Wagner Od
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881815777.
Healthcare Provider's Profile
| Full Name | Optometry Eye Care Centet Dr. B Wagner Od |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 12000 Victory Blvd, North Hollywwod, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881815777
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 10/03/2007
Medical Identifiers
Medical identifiers for Optometry Eye Care Centet Dr. B Wagner Od such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881815777 | NPI | - | NPPES |
| SD0051040 | Medicaid | CA | |
| GSD005410 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (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. Optometry Eye Care Centet Dr. B Wagner Od 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 |
|---|
Optometry Eye Care Centet Dr. B Wagner Od
12000 Victory Blvd,
North Hollywwod, CA 91606
Ph: (818) 985-2321 | Optometry Eye Care Centet Dr. B Wagner Od
12000 Victory Blvd,
North Hollywwod, CA 91606
Ph: (818) 985-2321 |
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