Richard Wagner , Od,pa

NPI #1598980435 in Chiefland, Florida

Provider Information

NPI Number: 1598980435
Entity Type: Organization
Organization Name: Richard Wagner , Od,pa
Primary Specialty: Optometrist
Enumeration Date: Apr 16, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 218 N MAIN ST
Address 2: 218 N MAIN ST
City: Chiefland
State: Florida
ZIP Code: 32626-0802
Phone: (352) 493-4448

Authorized Official

Name: RICHARD WAGNER, OD
Title: OPTOMETRY
Phone: (352) 493-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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