SearchWisconsinOptometrist

James Wagner, OD

NPI 1902026206 · on the registry since 2007 · sole proprietor

Practice

Address
5300 S 76th St
Ste 690
Greendale, WI 53129
Phone
(414) 855-0469
Fax
(414) 855-0492
Organisation at this address
Visionworks, Inc.
Pearle Vision Inc
Stein Optical Inc
Playlab Collective, Inc
Dr Wagner Southridge Optical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin