Rochelle M. Wagner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4885 Issued in OH

Practice address

4687 Morse Rd
Sears Optical
Gahanna, OH 43230-1375

Phone

(614) 478-7244

Fax

(614) 478-4507

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Ohio State University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Muirfield Eye Care Center IncGroup PAC ID 1850205600, 3 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.

• Muirfield Eye Care Center, Inc.

  • Optometrist
  • Dublin, OH
  • NPI 1629117221
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1699839845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4687 MORSE RD",
            "address_2": "SEARS OPTICAL",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301375",
            "telephone_number": "614-478-7244",
            "fax_number": "614-478-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 MORSE RD",
            "address_2": "SEARS OPTICAL",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301375",
            "telephone_number": "614-478-7244",
            "fax_number": "614-478-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROCHELLE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4885",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Mae Vietas-Prete, DPT
• Viktoria V Vo, RN
• Lauren Nicole Vogel, PMHNP-BC
• W Charles Buchsieb II DDS Inc
• Rebekah Wade, OT/CHT
• Ashley Nicole Wahba, RN, APRN-FNP-C
• Kara Waite, M.A., CCC-SLP
• Nicole J Waite, MPT
• David M Walker, DO
• Marcia Alexis Walker, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.