WAGNER INDUSTRIES, INC. (NPI# 1770750010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770750010 |
| Entity Type | Organization |
| Organization Name | WAGNER INDUSTRIES, INC. |
| Other Organization Name | OPTIMYSTIC |
| Practice Address |
5 Water St C/o Optimystic Mystic CT 06355-2507 |
| Mailing Address |
540 Route 148 Killingworth CT 06419-1107 |
| Practice Telephone | 8605361313 |
| Mailing Telephone | 8604055555 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DR. THOMAS JEFFREY WAGNER (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 8604055555 |
| Authorized Official Credential | O.D., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002282 | CT | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| OptiMystic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WAGNER INDUSTRIES, INC. | 1201 E 12th Ave, North Kansas City, MO 64116 |
| Colorado Business Entities | WAGNER INDUSTRIES, INC. | 1201 E 12th Ave, North Kansas City, MO 64116 |
| Street Address |
5 WATER ST C/O OPTIMYSTIC |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| 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 |
|---|---|---|---|---|
| 1023449477 | Totalvision Eye Health Center, LLC | Optometrist | 12 Coogan Blvd, Mystic, CT 06355-1938 | 2013-12-11 |
| 1114993789 | Thomas Jeffrey Wagner | Optometrist | 12 Roosevelt Ave, Mystic, CT 06355-2809 | 2006-02-24 |
| 1679107411 | Optimystic LLC | Optometrist | 12 Roosevelt Ave, Mystic, CT 06355-2809 | 2020-03-02 |
| 1942480660 | Visions Sight & Learning Center | Optometrist | 23 Clara Drive, Mystic, CT 06355-1959 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1588279590 | Eyes On Nigrelli, LLC | Optometrist | 18 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-09-15 |
| 1558973289 | Solinsky Eyecare LLC | Optometrist | 55 Nye Rd Ste 104, Glastonbury, CT 06033-1281 | 2020-08-24 |
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1013525302 | Eyeconic Vision Care LLC | Optometrist | 500 Andrews Way Apt 102, South Windsor, CT 06074-9601 | 2020-07-22 |
| 1295351104 | Victor Paul | Optometrist | 1920 Norwich New London Tpke, Uncasville, CT 06382-1384 | 2020-06-17 |
| 1700410727 | Optimized Vision & Eye Care LLC | Optometrist | 20 Division St, Derby, CT 06418-1430 | 2020-02-28 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAGNER INDUSTRIES, INC..
| 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.