DR. THOMAS DANIEL JAGGER (NPI# 1689643561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689643561 |
| Entity Type | Individual |
| Full Name | DR. THOMAS DANIEL JAGGER |
| Credential | MD |
| Practice Address |
150 Broad St Waverly NY 14892-1320 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6075652177 |
| Practice Fax Number | 6075652064 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV003009 | NY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG000604 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001844952001 | 05 | |
| NY | RR MEDICARE PIN | 410045675 | 01 |
| NY | 02144190 | 05 | |
| NY | RR MEDICARE GROUP | CC8362 | 01 |
| Street Address |
150 BROAD ST |
| City | WAVERLY |
| State | NY |
| Zip Code | 14892-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720402449 | Guthrie Home Care | Home Health | 150 Broad St, Waverly, NY 14892-1361 | 2014-02-17 |
| 1164858833 | Guthrie Specialty Physicians, PC | Durable Medical Equipment & Medical Supplies | 150 Broad St, Waverly, NY 14892-1361 | 2013-09-25 |
| 1457687048 | Guthrie Clinic Ltd | Clinic/Center | 150 Broad St, Waverly, NY 14892-1320 | 2009-11-02 |
| 1578755682 | Guthrie Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 150 Broad St, Waverly, NY 14892-1320 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861586208 | Patricia O. Davis | Nurse Practitioner | 80 William Donnelly Parkway, Waverly, NY 14892 | 2006-10-02 |
| 1982718763 | Joseph Anthony Picco | Dentist | 16 Frederick St, Waverly, NY 14892 | 2006-08-18 |
| 1104101674 | Sensational Kids Physical, Occupational & Speech Therapy Services Pllc | Early Intervention Provider Agency | 332 Broad St, Waverly, NY 14892 | 2011-10-17 |
| 1104971092 | Alice O'brien-botts | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1306991047 | Jane A. Lane | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1134273162 | Dianne L. Hill | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-23 |
| 1902042450 | Patricia Louise Ward | Physical Therapist | 97 Center St, Waverly, NY 14892-1103 | 2009-01-05 |
| 1245369628 | Diann M Dexter | Licensed Practical Nurse | 30 Lincoln St, Waverly, NY 14892-1117 | 2007-03-03 |
| 1265439186 | Tioga Healthcare Facility | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2005-07-07 |
| 1184997884 | 44 Ball Street Operating Company LLC | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2012-02-12 |
| Find all providers in zip 14892 | ||||
| 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 |
|---|---|---|---|---|
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1366474355 | Larry H Vandaalen | Optometrist | 108 2nd St Nw, Waverly, IA 50677-2619 | 2006-07-07 |
| 1386676880 | Ron W Roelfs | Optometrist | 124 2nd St Ne, Waverly, IA 50677 | 2006-07-06 |
| 1457300683 | Eye Specialist Inc | Optometrist | 505 West Emmitt Avenue, Suite 4, Waverly, OH 45690-1084 | 2006-05-06 |
| 1154383883 | Gregory G Montavon | Optometrist | 414 W Emmitt Ave, Waverly, OH 45690-1008 | 2006-04-06 |
| 1447242185 | Tonya Michelle Reynoldson | Optometrist | 215 Holly Ln, River Valley Eye Clinic P.c, Waverly, TN 37185-0493 | 2005-08-18 |
| 1841735008 | Eye Care Center of Waverly, Pllc | Optometrist | 108 2nd St Nw, Waverly, IA 50677-2619 | 2016-12-27 |
| 1174972913 | Eyes On Diabetes Pllc | Optometrist | 215 Holly Ln, #a, Waverly, TN 37185-3387 | 2016-06-10 |
| 1134473374 | P and B Eye Care, LLC | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677-3771 | 2012-11-08 |
| 1639460421 | Bridget Jane Steere-bollman | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677-3771 | 2011-04-27 |
| Find all providers in WAVERLY | ||||
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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.