Wagener Vision Clinic is a
Optometrist based in Wagener, South Carolina. Wagener Vision Clinic is licensed to practice in South Carolina (license number 433) and their current practice location is
149 N. Main St, Wagener, South Carolina. It can be reached at their office (for appointments etc.) via phone at
(803) 564-6728.
NPI number for Wagener Vision Clinic is 1124103536 and their current mailing address is Po Box 130, Wagener, South Carolina. Wagener Vision Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124103536.
Healthcare Provider's Profile
| Full Name | Wagener Vision Clinic |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 149 N. Main St, Wagener, South Carolina |
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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: 1124103536
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for Wagener Vision Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124103536 | NPI | - | NPPES |
| DA9844 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 433 (South Carolina) | 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. Wagener Vision Clinic 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 |
|---|
Wagener Vision Clinic
Po Box 130,
Wagener, SC 29164
Ph: (803) 564-6728 | Wagener Vision Clinic
149 N. Main St,
Wagener, SC 29164
Ph: (803) 564-6728 |
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