Wagner, David A

Wagner, David A is an sole proprietor health care provider with primary practice located at 3285 State Route 257 , Seneca PA 16346-2529. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Wagner, David A can be contacted via phone (814) 677-6636.

Contact Information

Primary practice address
3285 State Route 257 Seneca PA 16346-2529
Fax: (814) 677-9562
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000125 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG000125 Pennsylvania
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OEG000125 Pennsylvania
Eye and Vision Services Providers / Pediatrics 152WP0200X OEG000125 Pennsylvania
Eye and Vision Services Providers / Vision Therapy 152WV0400X OEG000125 Pennsylvania
Eye and Vision Services Providers / Occupational Vision 152WX0102X OEG000125 Pennsylvania

Profile Details

NPI number 1295754778
LBN Legal business name Wagner, David A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295754778 NPPES
Pennsylvania MEDICAID 0018040170003

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