JESSICA WAGNER (NPI# 1063466431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063466431 |
| Entity Type | Individual |
| Full Name | JESSICA WAGNER |
| Credential | OD |
| Practice Address |
4164 E Bluegrass Rd Mt Pleasant MI 48858 |
| Mailing Address |
336 W Front St #146 Traverse City MI 49684-2204 |
| Practice Telephone | 9897729481 |
| Practice Fax Number | 9897725431 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | JW004356 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1629608104 | Jessica E Wagner | Psychologist | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-01-23 |
| 1649837246 | Jessica Wagner | Physician Assistant | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2019-05-20 |
| 1134604648 | Jessica Wagner | Registered Nurse | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2018-10-01 |
| 1265982474 | Jessica Wagner | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2016-10-12 |
| 1013365246 | Jessica Lynn Wagner | Audiologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2016-05-27 |
| 1245606441 | Jessica Danielle Wagner | Nurse Practitioner | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 | 2015-08-11 |
| 1891187951 | Jessica Wagner | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2015-02-26 |
| 1316347198 | Jessica Wagner | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2014-08-28 |
| 1558701839 | Jessica Leigh Wagner | Behavioral Analyst | 901 N Monroe St, Suite 200, Spokane, WA 99201-2104 | 2013-07-01 |
| Street Address |
4164 E BLUEGRASS RD |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725119 | Nichols Optical Inc | Eyewear Supplier (Equipment, not the service) | 4164 E Bluegrass Rd, Mt Pleasant, MI 48858-7967 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| 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 |
|---|---|---|---|---|
| 1699314815 | American Eyecare PC | Optometrist | 1802 E Washington St Ste 101, Mt Pleasant, IA 52641-3217 | 2020-01-06 |
| 1831516541 | Sweetgrass Eyecare of Mount Pleasant | Optometrist | 3070 Highway 17 Byp N, Suite 201, Mt Pleasant, SC 29466-9300 | 2014-03-20 |
| 1922257864 | John D Boldan Jr. | Optometrist | 1606 S Jefferson Ave, Mt Pleasant, TX 75455-5614 | 2008-09-16 |
| 1588839898 | Drs Lawler & Lawler Pa | Optometrist | 202 S Van Buren, Mt Pleasant, TX 75455 | 2008-04-28 |
| 1962556191 | Davis Eye Group, Inc. | Optometrist | 741 North Church St, Mt Pleasant, PA 15666 | 2007-01-23 |
| 1861559619 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 2865 S Lincoln Rd, Mt Pleasant, MI 48858-9085 | 2007-01-02 |
| 1205991338 | Tad J Bartz | Optometrist | 500 S Mission St, Mt Pleasant, MI 48858-2847 | 2006-12-27 |
| 1477616647 | Keith G Farley | Optometrist | 855 Houston Northcutt Blvd, Primary Care Optometry, Mt Pleasant, SC 29464 | 2006-12-19 |
| 1457411977 | James Bradley Majors | Optometrist | 709 C Long Point Rd, Mt Pleasant, SC 29464-8287 | 2006-12-12 |
| 1376604546 | 3 D Optometry PC | Optometrist | 1031 Highway 41 Ste 400, Mt Pleasant, SC 29466-9320 | 2006-12-12 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
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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.