| Dr William Scott Wagner, OD | |
|
635 Anderson Rd, Ste 1, Davis, CA 95616-3505 | |
| (530) 756-5040 | |
| (530) 756-9140 |
| Full Name | Dr William Scott Wagner |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 635 Anderson Rd, Davis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457463150 | NPI | - | NPPES |
| GR0042241 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT9116 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Scott Wagner, OD 1700 Alhambra Blvd, Ste 202, Sacramento, CA 95816-7050 Ph: (916) 731-8040 | Dr William Scott Wagner, OD 635 Anderson Rd, Ste 1, Davis, CA 95616-3505 Ph: (530) 756-5040 |
Rodney W Roebuck, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1955 Cowell Blvd, Davis, CA 95618 Phone: 530-757-3941 Fax: 530-757-3934 | |
Dr. Laila Niyati, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1321 W. Covell Blvd., Suite 120, Davis, CA 95616 Phone: 530-758-3937 Fax: 530-758-3938 | |
Helmus Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 353 2nd St, Davis, CA 95616 Phone: 530-758-2122 Fax: 530-758-1448 | |
Dr. Thy Mim, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter, Ste 100, Davis, CA 95616 Phone: 530-757-6000 | |
Lauren Renee Guajardo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Shields Ave, Davis, CA 95616 Phone: 530-752-8612 Fax: 530-754-5842 | |
Baker Optometry, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2019 Anderson Rd Ste C, Davis, CA 95616 Phone: 530-756-5050 Fax: 530-204-5995 | |
Gaganjot Virk, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 231 C St, Davis, CA 95616 Phone: 530-758-4000 Fax: 530-758-4016 |