Robert Hampton Wagner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1834 Issued in CO

Practice address

10071 Wadsworth Pkwy
Ste 200
Westminster, CO 80021-3804

Phone

(303) 427-2020

Fax

(303) 427-6197

NPI assigned

Apr 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in CO

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

University of Missouri St Louis - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagner Optometry PCGroup PAC ID 2264415769, 2 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 and National Provider Directory roles.

• Wagner Optometry PC

  • Optometrist
  • Westminster, CO
  • NPI 1063561587
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1477515385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 WADSWORTH PKWY",
            "address_2": "STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213804",
            "telephone_number": "303-427-2020",
            "fax_number": "303-427-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 WADSWORTH PKWY",
            "address_2": "STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213804",
            "telephone_number": "303-427-2020",
            "fax_number": "303-427-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROBERT",
        "middle_name": "HAMPTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Sarah Voorus, PA-C
• Annika Vorsteveld, RBT
• Wagner Optometry PC
• James Colin Wagner, D.C.
• Loree Ebbinghaus Wagner, O.D.
• Mackenzie Mae Wahl, MD
• Levi Wait, D.C.
• Bonnie Mae Waite, N.P.
• Melanie Patricia Waite, LMT
• Wal-Mart Stores , Inc.

• Optometrist in Westminster, CO
• Providers in Westminster, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.