Brett James Wagner (NPI# 1407126576, PAC ID# 5890951396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407126576 |
| PAC ID by PECOS | 5890951396 |
| Professional Enrollment ID | I20120727000708 |
| Full Name | Brett James Wagner |
| Organization Legal Name | TRIAD EYE INSTITUTE PLLC |
| Address |
6140 S Memorial Dr Tulsa OK 74133-1933 |
| Phone Number | 9182522020 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6507083557 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3906 S Peoria, Tulsa, OK 74105-3131 | 9185851523 | EYE CARE FOR TULSA INC. |
| 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 9182522020 | TRIAD EYE INSTITUTE PLLC |
| Organization Legal Name | TRIAD EYE INSTITUTE PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Stephens | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Brett M Enyart | Optometry | Triad Eye Institute Pllc | 8023 E 63rd Pl, Suite 500, Tulsa, OK 74133-1209 |
| Joni S Couch | Optometry | Triad Eye Institute Pllc | 3131 Military Blvd, Muskogee, OK 74401-2290 |
| Valerie Lobodiak | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Bao-tran Walton | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Ryan P Conley | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Robert L Anderson | Certified Registered Nurse Anesthetist (crna) | Triad Eye Institute Pllc | 3131 Military Blvd, Muskogee, OK 74401-2290 |
| Jennifer M Howell | Optometry | Triad Eye Institute Pllc | 3131 Military Blvd, Muskogee, OK 74401-2290 |
| Curtis A Dubois | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Drew Allyn Crawford | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Street Address |
6140 S MEMORIAL DR |
| City | TULSA |
| State | OK |
| Zip | 74133-1933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Stephens | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Valerie Lobodiak | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Bao-tran Walton | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Ryan P Conley | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Curtis A Dubois | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Drew Allyn Crawford | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Rebecca Heath | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Elizabeth R Batchelor | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Dawn Pewitt | Optometry | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Mary Anne Ahluwalia | Ophthalmology | Triad Eye Institute Pllc | 6140 S Memorial Dr, Tulsa, OK 74133-1933 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Timothy J Gibson | Certified Registered Nurse Anesthetist (crna) | South Tulsa Anesthesia LLC | 9840 E 81 St, Suite 200, Tulsa, OK 74133 |
| Bernard N Robinowitz | Dermatology | Ahs Oklahoma Physician Group LLC | 8804 S 101st E Ave, Suite 385, Tulsa, OK 74133 |
| Courtney E White | Physical Therapy | 7345 S 99th E Ave, Empowerme Woodland Hills, Tulsa, OK 74133-1001 | |
| Brett M Enyart | Optometry | Triad Eye Institute Pllc | 8023 E 63rd Pl, Suite 500, Tulsa, OK 74133-1209 |
| Rebekah S Nunn | Chiropractic | 7615 E 63rd Pl, Suite 104, Tulsa, OK 74133-1231 | |
| Sandra A Mackey | Optometry | 8925 E 61st St, Suite A, Tulsa, OK 74133-1308 | |
| Jess T Roy | Family Medicine | 8316 E 61st Street, Neighborhood Walk In Medical Clinic, Tulsa, OK 74133-1908 | |
| Angela Dawn July | Nurse Practitioner | Rodi LLC | 8316 E 61st Street, Tulsa, OK 74133-1908 |
| Jessica Lynn Montesano | Chiropractic | Health Wise Chiropractic Inc PC | 9104 E 62nd St, Tulsa, OK 74133-1915 |
| Find all physicians in zip 74133 | |||
| City | TULSA |
| Zip Code | 74133 |
| Specialty | OPTOMETRY |
| City + Specialty | TULSA + OPTOMETRY |
Please comment or provide details below to improve the information on Brett James Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.