ALAN LEWIS WAGNER (NPI# 1295719631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295719631 |
| Entity Type | Individual |
| Full Name | ALAN LEWIS WAGNER |
| Credential | MD |
| Practice Address |
6160 Kempsville Cir Ste 120b Norfolk VA 23502-3933 |
| Mailing Address |
6160 Kempsville Cir Ste 250b Norfolk VA 23502-3933 |
| Practice Telephone | 7574814400 |
| Practice Fax Number | 7574811285 |
| Mailing Telephone | 7574814400 |
| Mailing Fax Number | 7574811285 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101039260 | VA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0101039260 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 044061 | 01 |
| VA | CIGNA | 202826 | 01 |
| VA | 006396097 | 05 | |
| VA | OPTIMA | 27210 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597792 | Alan Wagner | Private Vehicle | 795 S Township Road 113, Tiffin, OH 44883-9791 | 2020-10-29 |
| 1104372416 | Alan Wagner | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2016-08-27 |
| 1497701684 | Alan S. Wagner | Radiology | 3849 N Perryville Rd, Rockford, IL 61114-8080 | 2006-05-26 |
| 1649248584 | Alan Wagner | Radiology | 33-57 Harrison St, Johnson City, NY 13790 | 2006-03-08 |
| 1164406674 | Alan Marvin Wagner | Obstetrics & Gynecology | 1024 Main St, Woodward, OK 73801-3120 | 2005-11-30 |
| 1881686244 | Alan Duane Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2005-08-22 |
| Street Address |
6160 KEMPSVILLE CIR STE 120B |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093906281 | Kapil Gopal Kapoor | Ophthalmology | 6160 Kempsville Cir Ste 120b, Norfolk, VA 23502-3933 | 2007-08-05 |
| 1639252000 | Retina & Vitreous Center PC | Specialist | 6160 Kempsville Cir Ste 120b, Norfolk, VA 23502-3933 | 2006-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1336551571 | Andrew Baldwin | Ophthalmology | 100 N 37th St, Norfolk, NE 68701-3265 | 2014-05-22 |
| 1881860013 | Mark Michael Fernandez | Ophthalmology | 885 Kempsville Road, Suite 101, Virginia Ophthalmology Associates, PC, Norfolk, VA 23502 | 2008-05-07 |
| 1629256441 | Retina Group of Tidewater PC | Ophthalmology | 400 Gresham Dr Ste 308, Norfolk, VA 23507-1901 | 2008-02-04 |
| 1740493055 | Maria Lourdes Garcia Gonzalez | Ophthalmology | 6315 N Center Dr Ste 230, Norfolk, VA 23502-4006 | 2007-05-07 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1578652285 | James M Gordon | Ophthalmology | 880 Kempsville Rd Ste 2500, Norfolk, VA 23502-3990 | 2006-10-12 |
| 1437165065 | Conrad Allan Henry | Ophthalmology | 1881 E Little Creek Rd, Norfolk, VA 23518-4222 | 2006-08-01 |
| 1770546442 | Cheryl Genessa Cauthen | Ophthalmology | 1005 May Ave, Norfolk, VA 23504-3423 | 2006-04-11 |
| 1639131972 | Quentin Franklin | Ophthalmology | 3921 Granby St, Suite A, Norfolk, VA 23504 | 2006-04-03 |
| Find all providers in NORFOLK | ||||
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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.