Barry A. Wagner Od a Professional Corporation
NPI #1336360288 in Studio City, California
Provider Information
- NPI Number
- 1336360288
- Entity Type
- Organization
- Organization Name
- Barry A. Wagner Od a Professional Corporation
- Primary Specialty
- Optometrist
- Enumeration Date
- May 1, 2007
- Last Updated
- Oct 2, 2007
Practice Location
- Address
- 12229 VENTURA BLVD
- City
- Studio City
- State
- California
- ZIP Code
- 91604-2576
- Phone
- (818) 623-8900
Authorized Official
- Name
- BARRY ALAN WAGNER, OD
- Title
- OPTOMETRIST
- Phone
- (818) 985-2321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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