National Provider Identifier Database

IRVEN R WAGNER, OD – NPI #1376687814
Vision Therapy

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.


Contact Information

IRVEN R WAGNER, OD
800 CODDINGTOWN CTR
SANTA ROSA, CA95401-3511
Phone: 707-526-1881
Fax: 707-542-2014
Website:
Specialty Taxonomy Code
* Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for IRVEN R WAGNER

NPI Number 1376687814
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/17/2007
Last updated 04/22/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 8372TPA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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