Wagner Optical Inc

LBN: Wagner Optical Inc
Wagner Optical Inc is an health care organization with primary practice located at 945 Broadway , Buffalo NY 14212-1218. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Wagner Optical Inc can be contacted via phone (716) 845-6080, or through Witt, Richard James via phone (716) 845-6080.

Contact Information

Primary practice address
945 Broadway Buffalo NY 14212-1218
Phone: (716) 845-6080
Fax: (716) 845-0167
Website:
Map and Directions
Authorized official contact:
Name: Witt, Richard James OPTICIAN
Phone: (716) 845-6080

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1316094147
LBN Legal business name Wagner Optical Inc
DBA Doing business as
Authorized official Witt, Richard James OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316094147 NPPES
Other 17227 SPECTERA
Other 49762 SPECTERA
Other 7309888 SPECTERA
Other 00011397201 SPECTERA
Other 000390029003 SPECTERA
Other NY3364 SPECTERA
MEDICAID 01677123 SPECTERA

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