Troy Lamar Wagner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6114TG Issued in TX

Practice address

6700 Woodlands Pkwy
Ste 150
The Woodlands, TX 77382-2745

Phone

(281) 363-4362

NPI assigned

Oct 24, 2006

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagnertc P CGroup PAC ID 7719226489, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Wagnertc P C

  dba child and family eye care

  • Optometrist
  • The Woodlands, TX
  • NPI 1750576435
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1356425615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WOODLANDS PKWY",
            "address_2": "STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822745",
            "telephone_number": "281-363-4362",
            "fax_number": "281-363-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WOODLANDS PKWY",
            "address_2": "STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822745",
            "telephone_number": "281-363-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "TROY",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6114TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046FA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Grace Vollmer
• Mary Gale Vollmert, P.A.-C
• Voyager Health Services
• Jennifer Vu, PHARMD
• Wael Asi MD PA
• Wagnertc P C (child and family eye care)
• Kathryn Grace Wainscott, LPC
• Alicia Taskara Waits, MD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3390)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3213)

• Optometrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.