Joel Wagner

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007317 Issued in OH

Practice address

3542 Navarre Ave
Oregon, OH 43616-3430

Phone

(419) 693-4444

NPI assigned

Jul 2, 2024

Last updated

Jul 2, 2024By the provider in NPPES

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 OH

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

Illinois College of Optometry at Chicago, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants Ohio, IncGroup PAC ID 3072812676, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Midwest Eye Consultants Ohio, Inc

  dba Midwest Eye Consultants Ohio #403

  • Optometrist
  • Oregon, OH
  • NPI 1932569100
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants Ohio, Inc

  dba Midwest Eye Consultants Ohio #402

  • Optometrist
  • Toledo, OH
  • NPI 1346600517
  NPD
• Midwest Eye Consultants Ohio, Inc

  dba Midwest Eye Consultants Ohio #407

  • Optometrist
  • Coventry Township, OH
  • NPI 1619790185
  NPD

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1356187074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 WINTERBERRY CT",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163430",
            "telephone_number": "419-693-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oswaldo E. Vilela, M.D.
• Virginia Carner Dunn DDS Inc
• Charles Louis Vogel IV, ED.S.
• Jessica Irene Buzon Vogel, OTR
• Robbin W Wagener, OD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5029)
• Wal-Mart Stores East, LP (Vision Center 30-5029)
• Donald R Walendzak, PT
• Walgreen Co (Walgreens #05906)
• Amy Jo Walker, AGNP

• Optometrist in Oregon, OH
• Providers in Oregon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.