Individual provider Active NPI

Ashley M Wagner, OD

  • Optometrist
  • Wilkes Barre, PA
National Provider Identifier
1417360975
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002919 Issued in PA
Practice address
82 S Washington St
Wilkes Barre, PA 18701-3029
Phone
(570) 823-0290
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002919 PA Primary

Addresses

Primary practice location

82 S Washington St
Wilkes Barre, PA 18701-3029

Mailing address

3 W Olive St
Ste 103
Scranton, PA 18508-2573
Phone (570) 823-0290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI, VA, MA, WI, IN, OH, DC, MD9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20160804002425 PA Practitioner - Optometry 7113211764 Reassigns benefits to 5 organizations
I20240302000470 MI Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20240408001395 VA Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20240614001585 MA Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20250304000958 WI Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20250306000322 IN Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20250409002634 OH Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20250606000500 DC Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization
I20250609001408 MD Practitioner - Optometry 7113211764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Massachusetts P C 57 clinicians

Practice addresses (Care Compare)

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Services P.C. Optometrist CurrentSince Nov 17, 2019 Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist CurrentSince Mar 15, 2024 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince May 10, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 15, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince May 10, 2024 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Feb 21, 2024 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Feb 21, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Mar 5, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Empire Vision Center, Inc CurrentSince Oct 18, 2021 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Boyle Eye Specialists PC CurrentSince Oct 3, 2017 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince May 13, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 18, 2021 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince May 13, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Mar 5, 2025 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince May 13, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Donna B. McLaughlin OD Optometrist PastSince Oct 5, 2019 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations (25 of 70)

1460 N Green St
Ste 100
Brownsburg, IN 46112
Phone (317) 852-6620

2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

3401 Lake Ave
Fort Wayne, IN 46805
Phone (260) 422-6396

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003

1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424

755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828

855 Olds St
Jonesville, MI 49250
Phone (515) 849-2200

5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

2067 S Drake Rd
Kalamazoo, MI 49006
Phone (269) 366-3664

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

6123 S Westnedge Ave
Portage, MI 49002
Phone (269) 327-7079

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

500 S Centerville Rd
Sturgis, MI 49091
Phone (269) 651-1958

22750 Allen Rd
Woodhaven, MI 48183
Phone (734) 676-4300

Organizations & group practices 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1417360975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "address_2": "STE 103",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082573",
            "telephone_number": "570-823-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013029",
            "telephone_number": "570-823-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.