DR. Thomas Jeffrey Wagner, OD MS
NPI #1114993789 in Mystic, Connecticut
Provider Information
- NPI Number
- 1114993789
- Entity Type
- Individual
- Name
- DR. Thomas Jeffrey Wagner, OD MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD MS
- Enumeration Date
- Feb 24, 2006
- Last Updated
- Mar 24, 2020
Practice Location
- Address
- 12 ROOSEVELT AVE
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-2809
- Phone
- (860) 536-1313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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