| Dr Heidi Wagner, OD | |
|
3200 S University Dr, Nsu The Eye Institute Suite 1402, Davie, FL 33328-2018 | |
| (954) 262-1402 | |
| (954) 262-1818 |
| Full Name | Dr Heidi Wagner |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 39 Years |
| Location | 3200 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689749483 | NPI | - | NPPES |
| 620499600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3901 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marshall B Ketchum University | 9739075177 | 48 |
| Provider Name | Marshall B Ketchum University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720101876 PECOS PAC ID: 9739075177 Enrollment ID: O20040224000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heidi Wagner, OD 338 W 10th Ave, Columbus, OH 43210-1280 Ph: (954) 384-0497 | Dr Heidi Wagner, OD 3200 S University Dr, Nsu The Eye Institute Suite 1402, Davie, FL 33328-2018 Ph: (954) 262-1402 |
Dr. Nadine M Girgis - Hanna, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1728 Fax: 954-262-1818 | |
Dr. Heather Noel Cipperly, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200s University Dr, Terry Building 1402, Davie, FL 33328 Phone: 954-262-4235 Fax: 954-262-3904 | |
Gregory Hill, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3200 S University Dr # 1488, Davie, FL 33328 Phone: 954-262-4228 | |
Dr. Rusk Harris, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8828 W State Road 84, Davie, FL 33324 Phone: 954-916-8484 Fax: 954-476-2668 | |
Dr. Rishi Shah, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4671 S University Dr, Davie, FL 33328 Phone: 703-861-2789 | |
Dr. Samantha Krueger, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4200 | |
Tsung-hao Wu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200 S University Dr, Terry Building #1402b, Davie, FL 33328 Phone: 954-262-4200 |