NPIMap

Organization Active NPI

Dennis M. Wagner OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1952589046
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001701 Issued in FL
Legal business name
DENNIS M. WAGNER OD
Practice address
2901 Curry Ford Rd
Suite 214
Orlando, FL 32806-3300
Phone
(407) 894-9998
Fax
(407) 894-5512
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dennis Merle WagnerNPI 1770630733
Title
Optometrist
Phone
(407) 894-9998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC001701 FL Primary

Addresses

Primary practice location

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

Mailing address

2901 Curry Ford Rd
Suite 214
Orlando, FL 32806-3300
Phone (407) 894-9998

National Provider Directory

National Provider Directory

Locations

2901 Curry Ford Rd
Ste 214
Orlando, FL 32806
Phone (407) 894-9998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1952589046",
    "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": {
        "organization_name": "DENNIS M. WAGNER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-894-9998"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.