Wagner, Brett James

Wagner, Brett James is an individual health care provider with primary practice located at 5606 Sw Lee Blvd Suite 301, Lawton OK 73505-9688. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wagner, Brett James can be contacted via phone (580) 536-0000.

Contact Information

Primary practice address
5606 Sw Lee Blvd Suite 301 Lawton OK 73505-9688
Phone: (580) 536-0000
Fax: (580) 536-2205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2718 Oklahoma

Profile Details

NPI number 1407126576
LBN Legal business name Wagner, Brett James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Jun 13th, 2012 - about 12 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.

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