Tony Shaun Wagler, O,D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003430A Issued in IN

Practice address

1537 S Scatterfield Rd
Suite #2
Anderson, IN 46016-5766

Phone

(765) 649-1200

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Fall Creek Visionaries, LLCGroup PAC ID 2860581261, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fall Creek Visionaries, LLC

  • Optometrist
  • Fishers, IN
  • NPI 1376600882
  Medicare reassignment Care Compare group
• Macha Family Eye Care, PC

  • Optometrist
  • Anderson, IN
  • NPI 1134239825
  NPD (past)
• Peak Visual Performance, LLC

  • Optometrist
  • Anderson, IN
  • NPI 1932521580
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1295851889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 VALHALLA LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377543",
            "telephone_number": "812-295-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD",
            "address_2": "SUITE #2",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165766",
            "telephone_number": "765-649-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGLER",
        "first_name": "TONY",
        "middle_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "O,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003430A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Vu, MD
• Penelope Wadleigh, N.P.
• Miranda Michelle Wafford, RBT
• Marcus Jackson Wager, R.N.
• Madeline Wages-Hay
• Ching-Shu Wagner, D.D.S.
• Ethan E Wagner, DO
• Martin D Wagner, MD
• Satomi Wakabayashi, LMHC
• Khalil G Wakim

• Optometrist in Anderson, IN
• Providers in Anderson, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.