Dr. Thomas Jeffrey Wagner
OD MS
Optometrist
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?
What does Dr. Thomas Jeffrey Wagner specialize in?
Where is Dr. Thomas Jeffrey Wagner located?
Does Dr. Thomas Jeffrey Wagner accept Medicare?
Does Dr. Thomas Jeffrey Wagner offer telehealth or virtual visits?
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.