Alfred A. Wagner

NPI #1245660547 in Apalachin, New York

Provider Information

NPI Number: 1245660547
Entity Type: Organization
Organization Name: Alfred A. Wagner
Primary Specialty: Optometrist
Enumeration Date: Nov 22, 2013
Last Updated: Nov 22, 2013

Practice Location

Address: 8740 STATE ROUTE 434
City: Apalachin
State: New York
ZIP Code: 13732-4009
Phone: (607) 625-2121

Authorized Official

Name: DR. ALFRED A. WAGNER, O.D. (DOCTOR OF OPTO
Title: OWNER/OPTOMETRIST
Phone: (607) 625-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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