Brett James Wagner, O.D.

NPI #1407126576 in Lawton, Oklahoma

Provider Information

NPI Number: 1407126576
Entity Type: Individual
Name: Brett James Wagner, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 6, 2012
Last Updated: Jun 13, 2012

Practice Location

Address: 5606 SW LEE BLVD
Address 2: SUITE 301
City: Lawton
State: Oklahoma
ZIP Code: 73505-9688
Phone: (580) 536-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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