Wagers, David
Wagers, David is an individual health care provider with primary practice located at 890 Century Dr , Mechanicsburg PA 17055-4375. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wagers, David can be contacted via phone (717) 697-1414.Contact Information
Primary practice address
890 Century Dr
Mechanicsburg PA 17055-4375
Phone: (717) 697-1414
Fax: (717) 697-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000284 | Pennsylvania |
Profile Details
| NPI number | 1710928239 |
|---|---|
| LBN Legal business name | Wagers, David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jun 9th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710928239 | NPPES |
| Pennsylvania | MEDICAID | 1793030 |
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