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IndividualActiveMedicare EnrolledCan Order/Refer

Dr. Thomas Jeffrey Wagner

OD MS

Optometrist

NPI: 1114993789Mystic, Connecticut, 06355(860) 536-1313Male

About Dr. Thomas Jeffrey Wagner

Dr. Thomas Jeffrey Wagner, OD MS, is a male healthcare professional specializing in Optometrist, registered under National Provider Identifier (NPI) number 1114993789. Dr. Thomas Jeffrey Wagner received his medical education at PENNSYLVANIA COLLEGE OF OPTOMETRY, graduating in 1990.

Their primary practice is located at 12 ROOSEVELT AVE, Mystic, Connecticut 06355. Patients can reach the office at (860) 536-1313. Dr. Thomas Jeffrey Wagner is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Dr. Thomas Jeffrey Wagner received $273 in Medicare payments in 2018 across 3 claims. Dr. Thomas Jeffrey Wagner has been NPI-registered since 2006.

Key Metrics

Medicare Payments

$272.62

Year 2018

Payment Count

3

Year 2018

Rx Claims

60

$2,211.23

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1114993789
Entity Type
Individual
First Name
Thomas
Last Name
Wagner
Credential
OD MS
Gender
Male
Medical School
PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year
1990
Sole Proprietor
No
Status
active

Primary Practice Location

Address
12 ROOSEVELT AVE
City
Mystic
State
Connecticut
ZIP
06355-2809
Country
United States
Phone
(860) 536-1313
Fax
(860) 572-7770

Specialty & Taxonomy

Primary Specialty
Optometrist
Classification
Optometrist
Taxonomy Code
152W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
540 ROUTE 148
City
KILLINGWORTH
State
CT
ZIP
064191107

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Dr. Thomas Jeffrey Wagner's NPI number?
Dr. Thomas Jeffrey Wagner's National Provider Identifier (NPI) is 1114993789. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Thomas Jeffrey Wagner specialize in?
Dr. Thomas Jeffrey Wagner specializes in Optometrist. They received their medical education at PENNSYLVANIA COLLEGE OF OPTOMETRY (class of 1990).
Where is Dr. Thomas Jeffrey Wagner located?
Dr. Thomas Jeffrey Wagner practices at 12 ROOSEVELT AVE, Mystic, Connecticut 06355. You can reach them by phone at (860) 536-1313.
Does Dr. Thomas Jeffrey Wagner accept Medicare?
Yes, Dr. Thomas Jeffrey Wagner is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Thomas Jeffrey Wagner offer telehealth or virtual visits?
Dr. Thomas Jeffrey Wagner does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Thomas Jeffrey Wagner is 1114993789.