Loree E Wagner (NPI# 1790748903, PAC ID# 1052394558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1790748903 |
| PAC ID by PECOS | 1052394558 |
| Professional Enrollment ID | I20040625000303 |
| Full Name | Loree E Wagner |
| Organization Legal Name | WAGNER OPTOMETRY PC |
| Address |
10071 N Wadsworth Pkwy Suite 200 Westminster CO 80021-3804 |
| Phone Number | 3034272020 |
| Gender | F |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2264415769 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10071 N Wadsworth Pkwy, Suite 200, Westminster, CO 80021-3804 | 3034272020 | WAGNER OPTOMETRY PC |
| Organization Legal Name | WAGNER OPTOMETRY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Wagner | Optometry | Wagner Optometry PC | 10071 N Wadsworth Pkwy, Suite 200, Westminster, CO 80021-3804 |
| Street Address |
10071 N WADSWORTH PKWY SUITE 200 |
| City | WESTMINSTER |
| State | CO |
| Zip | 80021-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Wagner | Optometry | Wagner Optometry PC | 10071 N Wadsworth Pkwy, Suite 200, Westminster, CO 80021-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maxine Leota Banecks | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Christine R Riguzzi | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Etienne N Janco | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Jody L Gottesman | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maria Lynn Martin | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Lisa Evensky-stark | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kevin Berg | General Surgery | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kelly E Gahan | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Stephanie M Burke | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Find all physicians in zip 80021 | |||
| City | WESTMINSTER |
| Zip Code | 80021 |
| Specialty | OPTOMETRY |
| City + Specialty | WESTMINSTER + OPTOMETRY |
Please comment or provide details below to improve the information on Loree E 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.