WILLIAM W WAGNON M D P A (NPI# 1154687747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154687747 |
Entity Type | Organization |
Organization Name | WILLIAM W WAGNON M D P A |
Practice Address |
1421 S Wheeler St Jasper TX 75951-5149 |
Practice Telephone | 9366326111 |
Mailing Telephone | 9366326111 |
Enumeration Date | 2012-04-09 |
Last Update Date | 2012-06-22 |
Authorized Official Name | WILLIAM WAGNON (OWNER) |
Authorized Official Telephone | 9366326111 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | F2087 | TX | Suppliers |
Street Address |
1421 S WHEELER ST |
City | JASPER |
State | TX |
Zip Code | 75951-5149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
Find all providers in zip 75951 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659677789 | Eye Center of Alabama PC | Eyewear Supplier (Equipment, not the service) | 20 Medical Center Dr, 100, Jasper, AL 35501-3425 | 2011-02-08 |
1427223056 | Samuel F. Hollingsworth | Eyewear Supplier (Equipment, not the service) | 2545 Highway 78 E, Jasper, AL 35501-3433 | 2008-04-24 |
1689844805 | Andrea D Sims Od PC | Eyewear Supplier (Equipment, not the service) | 1320 Highway 78 E, Jasper, AL 35501-3965 | 2008-03-04 |
1750569737 | Samuel Hollinsworth Md PC | Eyewear Supplier (Equipment, not the service) | 2545 Highway 78 E, Jasper, AL 35501-3433 | 2008-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WILLIAM W WAGNON M D P A.
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.