Jessica Lynn Wagner (NPI# 1063466431, PAC ID# 9234149188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1063466431 |
PAC ID by PECOS | 9234149188 |
Professional Enrollment ID | I20060424000059 |
Full Name | Jessica Lynn Wagner |
Organization Legal Name | NICHOLS OPTICAL INC |
Address |
6800 Eastman Ave Suite 320 Midland MI 48642-7813 |
Phone Number | 9898395858 |
Gender | F |
Credential | OD |
Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
Graduation Year | 2005 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2466447966 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
6800 Eastman Ave, Suite 320, Midland, MI 48642-7813 | 9898395858 | NICHOLS OPTICAL INC |
336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 | 2319417788 | NICHOLS OPTICAL INC |
Organization Legal Name | NICHOLS OPTICAL INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
Street Address |
6800 EASTMAN AVE SUITE 320 |
City | MIDLAND |
State | MI |
Zip | 48642-7813 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly L Bulow | Optometry | Bay Eye Care Center, PC | 1715 E Ashman St, Midland, MI 48642-4066 |
John E Vargas | General Practice | 2525 Washington St, Midland, MI 48642-4600 | |
Frederick Lee Knochel Iii | Chiropractic | 2525 Washington St, Suite 500, Midland, MI 48642-4690 | |
Jose L Raygada | Infectious Disease | 2125 Ridgewood Dr, Midland, MI 48642-5863 | |
Patrick Coffey | Vascular Surgery | Vascular Health Clinics Pllc | 2125 Ridgewood Dr, Midland, MI 48642-5863 |
Kurt C Anderson | Family Medicine | Vascular Health Clinics Pllc | 2125 Ridgewood Dr, Midland, MI 48642-5863 |
Majid Toseef Aized | Thoracic Surgery | Vascular Health Clinics Pllc | 2125 Ridgewood Dr, Midland, MI 48642-5863 |
Shikha Sharma | Cardiovascular Disease (cardiology) | Vascular Health Clinics Pllc | 2125 Ridgewood Dr, Midland, MI 48642-5863 |
Omar P Haqqani | Vascular Surgery | Vascular Health Clinics Pllc | 2125 Ridgewood Dr, Midland, MI 48642-5863 |
Christopher Mcewen | Anesthesiology | Northstar Anesthesia of Michigan II PC | 4228 Bay City Rd, Midland, MI 48642-6014 |
Find all physicians in zip 48642 |
City | MIDLAND |
Zip Code | 48642 |
Specialty | OPTOMETRY |
City + Specialty | MIDLAND + OPTOMETRY |
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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.