RONALD T. WAGNER (NPI# 1700933298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700933298 |
| Entity Type | Individual |
| Full Name | RONALD T. WAGNER |
| Credential | O. D. |
| Practice Address |
115 Columbia Ave Glasgow KY 42141-2903 |
| Mailing Address |
Po Box 638 Glasgow KY 42142-0638 |
| Practice Telephone | 2706518323 |
| Practice Fax Number | 2706518324 |
| Mailing Telephone | 2706518323 |
| Mailing Fax Number | 2706518324 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | K808DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BLUE CROSS BLUE SHIELD | 000000047717 | 01 |
| KY | 77008084 | 05 | |
| KY | TRI CARE | 611009062 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649419086 | Ronald W Wagner Jr. | Registered Nurse | 2635 G St, Bakersfield, CA 93301-2813 | 2009-02-09 |
| 1689661415 | Ronald S Wagner | Radiology | 110 Marcus Drive, Melville, NY 11747 | 2005-10-06 |
| 1306401567 | Ronald W Wagner | Physical Therapist | 415 S 10th St, Atchison, KS 66002-2771 | 2019-05-03 |
| 1992862098 | Ronald A Wagner | Psychologist | 110 W Squantum St, Suite 17, Quincy, MA 02171-2122 | 2007-01-02 |
| 1093892333 | Ronald Paul Wagner | Physician Assistant | 400 Hinckley Blvd, Ste A, Jackson, MI 49203-6125 | 2006-11-01 |
| 1366528721 | Ronald W Wagner | Specialist/Technologist | 250 University Ave, California, PA 15419-1341 | 2006-10-28 |
| 1851309793 | Ronald Kent Wagner Jr. | Dentist | 2045 Village Center Circle, Las Vegas, NV 89134 | 2006-08-04 |
| 1699783530 | Ronald Kent Wagner | Dentist | 2045 Village Center Circle, Las Vegas, NV 89134 | 2006-08-04 |
| 1538116538 | Ronald G Wagner | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2006-05-27 |
| Street Address |
115 COLUMBIA AVE |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124180351 | Wagner & Wagner Psc | Optometrist | 115 Columbia Ave, Glasgow, KY 42141-2903 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| 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 |
|---|---|---|---|---|
| 1366868549 | Hi-line Eye Care, Pllc | Optometrist | 234 5th St S, Glasgow, MT 59230-2421 | 2014-03-11 |
| 1801079819 | Hodges Vision LLC | Optometrist | 507 Happy Valley Rd, Glasgow, KY 42141-1539 | 2007-12-12 |
| 1881893840 | Whitney Thompson Optometry Psc | Optometrist | 705 N Race St, Glasgow, KY 42141-3040 | 2007-07-11 |
| 1831397157 | Glasgow Vision Center | Optometrist | 839 1st Ave S, Glasgow, MT 59230-2262 | 2007-07-08 |
| 1679620587 | Jon C Kolstad | Optometrist | 630 3rd Ave S, Glasgow, MT 59230-2407 | 2007-01-04 |
| 1083777429 | Stephen Douglas Ward | Optometrist | 1407 N Race St, Glasgow, KY 42141-3474 | 2006-12-18 |
| 1124180351 | Wagner & Wagner Psc | Optometrist | 115 Columbia Ave, Glasgow, KY 42141-2903 | 2006-12-14 |
| 1720151756 | Terry W. Durham | Optometrist | 218 S Liberty St, Glasgow, KY 42141-2426 | 2006-11-16 |
| 1902896640 | George Paul Rooney | Optometrist | 108 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-10-25 |
| 1760480297 | Jamison J Heffron | Optometrist | 507 S L Rogers Wells Blvd, Suite B, Glasgow, KY 42141-1047 | 2005-07-08 |
| Find all providers in GLASGOW | ||||
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| 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.