Michael Scott Wagner, OD

Optometrist · Mill Creek, WA

Individual Active NPI

NPI number 1215676572

Practice location

16708 Bothell Everett Hwy Ste 103
Mill Creek, WA 98012-6345
Phone
(425) 481-4440

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NPI record

NPI
1215676572
Entity type
Individual (Type 1)
Enumeration date
June 3, 2022
Last updated
June 3, 2022
Certified
April 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OD61308446 WA

About Dr. Wagner

Michael Scott Wagner, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012-6345. The NPI number 1215676572 was assigned on June 3, 2022 and the record was last updated on June 3, 2022.

Dr. Wagner lists a license in the registry: #OD61308446 (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Scott Wagner, OD?

The NPI number is 1215676572.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (425) 481-4440.

Where is Dr. Wagner located?

16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012-6345.

What is the taxonomy code for Dr. Wagner?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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