Wagner Family Eyecare, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0EG000125 Issued in PA

Legal business name

WAGNER FAMILY EYECARE, PC

Practice address

3285 State Route 257
Seneca, PA 16346-2529

Phone

(814) 677-6636

Fax

(814) 677-9562

NPI assigned

Feb 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David A Wagner, ODNPI 1295754778

Title

Owner/Optometrist

Phone

(814) 677-6636

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: makaylit66@wagnerfamilyeyecare.eyefinity-direct.com
• Direct secure messaging: seibertk@wagnerfamilyeyecare.eyefinity-direct.com
• Direct secure messaging: davidwagner@wagnerfamilyeyecare.eyefinity-direct.com

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Wagner, OD

  • Optometrist
  • Seneca, PA
  • NPI 1295754778
  Medicare reassignment Care Compare group NPD Authorized official
• Makayli Kepple, OD

  • Optometrist
  • Seneca, PA
  • NPI 1881329167
  Medicare reassignment Care Compare group NPD
• Kelly Seibert, O.D.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1073911707
  Medicare reassignment Care Compare group NPD
• Stephen M Reinsel, O.D.

  • Low Vision Rehabilitation Optometrist
  • Seneca, PA
  • NPI 1659626638
  NPD
• Tracy C Sepich, OD

  • Optometrist
  • State College, PA
  • NPI 1407826969
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1043498249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460307",
            "telephone_number": "814-677-6636",
            "fax_number": "814-677-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462529",
            "telephone_number": "814-677-6636",
            "fax_number": "814-677-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER FAMILY EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "814-677-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014195820006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venango Diagnostic Imaging, Inc.
• Venango Training & Development Center, Inc.
• Sam D Verdi, PA-C
• Aanal J Vyas, MD
• Ashley Elizabeth Wagle, D.O.
• David A Wagner, OD
• Kathleen Walton, OT
• Carrie M. Warcholic, SLP
• Nerissa Weaver, LCSW
• Anneliese Welch

• Optometrist in Seneca, PA
• Providers in Seneca, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.