Dennis M Wagner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001701 Issued in FL

Practice address

2901 Curry Ford Rd
Suite 214
Orlando, FL 32806-3300

Phone

(407) 894-9998

Fax

(407) 894-5512

NPI assigned

Jan 4, 2007

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 FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dwagner@wagnereye.eyefinitydirect.com

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.

• Dennis M. Wagner OD

  • Optometrist
  • Orlando, FL
  • NPI 1952589046
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1770630733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CURRY FORD RD",
            "address_2": "SUITE 214",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063300",
            "telephone_number": "407-894-9998",
            "fax_number": "407-894-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CURRY FORD RD",
            "address_2": "SUITE 214",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063300",
            "telephone_number": "407-894-9998",
            "fax_number": "407-894-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DENNIS",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Wagner
• Amy S Wagner, LMHC, LMFT
• Andrew Wagner
• Charissa Wagner
• Curtis B Wagner, DPM
• Matthew Wagner
• Thomas Wagner
• Kurt Wahl, P.A.
• Deborah Ann Wahler, NP
• Philip Y. Wai, MD

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.