Wagner Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WAGNER OPTICAL INC

Practice address

945 Broadway
Buffalo, NY 14212-1218

Phone

(716) 845-6080

Fax

(716) 845-0167

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard James Witt, OPTICIANNPI 1215096227

Title

President

Phone

(716) 845-6080

Specialties & licenses 3

Addresses

Other identifiers 7

Locations

Practitioners 1

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

• Richard James Witt, OPTICIAN

  • Optician
  • Buffalo, NY
  • NPI 1215096227
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1316094147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BROADWAY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121218",
            "telephone_number": "716-845-6080",
            "fax_number": "716-845-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BROADWAY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121218",
            "telephone_number": "716-845-6080",
            "fax_number": "716-845-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-845-6080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "17227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "49762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "7309888",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011397201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000390029003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY3364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01677123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Elizabeth Wade, OTR/L
• Sachin Wadhawan, M.D.
• Sanjivini Wadhwa, MD
• Sharlin Akhter Wadud
• Heidi Christine Wagner Maggitti, MA, LMHC, NCC
• Ashley Wagner, LMSW
• Gina Wagner, NP
• Judith Marie Wagner, MA/CRC
• Keturah Wagner, CPD
• Mary Wagner, CRNA

• Optometrist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.