MR. FREDERICK JOSEPH WAGNER JR. (NPI# 1013052257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013052257 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK JOSEPH WAGNER JR. |
| Credential | OD |
| Practice Address |
101 Kimball Rd Carlisle MA 01741 |
| Practice Telephone | 9783712337 |
| Practice Fax Number | 9783712297 |
| Mailing Telephone | 9783712337 |
| Mailing Fax Number | 9783712297 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2408 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0320668 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589053 | Frederick Wagner | Anesthesiology | 5921 Meridian Woods Drive, Glen Carbon, IL 62034-1545 | 2005-06-22 |
| 1437126984 | Frederick L Wagner | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1611 | 2006-03-03 |
| Street Address |
101 KIMBALL RD |
| City | CARLISLE |
| State | MA |
| Zip Code | 01741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205957453 | Heidi Birgit Kummer | Anesthesiology | Heidi B. Kummer M.d., 63 Spencer Brook Lane, Carlisle, MA 01741 | 2007-04-03 |
| 1588780126 | Eileen Kain Szypko | Dentist | 18 Westford Road, Carlisle, MA 01741 | 2007-03-22 |
| 1134274871 | James L Tung | Emergency Medicine | 150 Buttrick Lane, Carlisle, MA 01741 | 2007-01-24 |
| 1134286586 | Ross King Peterson | Psychiatry & Neurology | One River Rd, Carlisle, MA 01741 | 2007-01-03 |
| 1457419699 | Sharon A Chirban | Psychologist | 479 West Street, Carlisle, MA 01741 | 2006-12-04 |
| 1376040899 | Community Healthcare Alliance, Pllc | Internal Medicine | 138 East St, Carlisle, MA 01741 | 2018-04-11 |
| 1588190516 | Sustainable Dish, LLC | Dietitian, Registered | 185 Concord St, Carlisle, MA 01741 | 2017-05-11 |
| 1962608471 | Andrea Richman Dmd PC | Clinic/Center | 18 Westford Road, Carlisle, MA 01741-0174 | 2007-06-22 |
| 1912986134 | Moojan Rouhi | Optometrist | 65 Hutchins Rd, Carlisle, MA 01741-1027 | 2006-01-16 |
| 1609920776 | Theodore Treibick | Internal Medicine | 138 East St, Carlisle, MA 01741-1105 | 2007-01-23 |
| Find all providers in zip 01741 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033281894 | Alan Laird Lewis | Optometrist | 282 E Riding Dr, Carlisle, MA 01741-1601 | 2006-11-15 |
| 1407931629 | David Russell Wilson | Optometrist | 650 E High St, Ste 652, Carlisle, PA 17013 | 2006-10-26 |
| 1659388114 | Claudine Jacqueline Jackson | Optometrist | 6 E Eppley Dr, Carlisle, PA 17013-4378 | 2006-08-01 |
| 1295755866 | David E Paden | Optometrist | 319 York Rd, Carlisle, PA 17013-3160 | 2006-07-19 |
| 1053362863 | Optometric Associates of Warren County PC | Optometrist | 55 School St, Box 265, Carlisle, IA 50047-8782 | 2006-05-15 |
| 1316903180 | Vincett Eye Associates LLC | Optometrist | 120 S Hanover St, Carlisle, PA 17013 | 2006-04-21 |
| 1386614659 | Anthony J Grieneisen | Optometrist | 25 State Ave, Carlisle, PA 17013-4432 | 2006-01-26 |
| 1912986134 | Moojan Rouhi | Optometrist | 65 Hutchins Rd, Carlisle, MA 01741-1027 | 2006-01-16 |
| 1902883432 | John W Cable | Optometrist | 120 South Hanover St, Vincett Eye Associates LLC, Carlisle, PA 17013 | 2005-12-27 |
| 1336136464 | Joseph Paul Winberry Jr. | Optometrist | 40 Noble Blvd, Carlisle, PA 17013-4122 | 2005-10-04 |
| Find all providers in CARLISLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.