JULIE ANN WAGSTAFF O.D.
NPI 1124179908
Optometrist in San Jose, CA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
2200 EASTRIDGE LOOP, EASTRIDGE MALL STE 1078, SAN JOSE, CA 95122(408) 270-6161(408) 270-6176 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie Ann Wagstaff O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE ANN WAGSTAFF O.D. (NPI 1124179908) is an individual optometrist in San Jose, California, licensed in California (11444) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1124179908
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJULIE ANN WAGSTAFFCredential: O.D.
Location Address2200 EASTRIDGE LOOP, EASTRIDGE MALL STE 1078San Jose, CA 95122-1410
Mailing Address961 Spencer AveSan Jose, CA 95125-1672 · (408) 947-1193
Fax(408) 270-6176
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124179908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 11444
Definition
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.
2200 EASTRIDGE LOOP, San Jose, CA 95122

Other Identifiers 2

Medicare ID-Type UnspecifiedSDO114441CA
Medicare UPINU91691CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Julie Ann Wagstaff O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931092525
PECOS Enrollment IDI20040206000268
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
29 services29 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2200 EASTRIDGE LOOP, STE 1078
SAN JOSE, CA 95122
Optometrist
2200 EASTRIDGE LOOP, EASTRIDGE MALL STE 1078
SAN JOSE, CA 95122
Dentist
2200 EASTRIDGE LOOP, SUITE # 1060
SAN JOSE, CA 95122
Acupuncturist
2200 EASTRIDGE LOOP, 2101
SAN JOSE, CA 95122
Optometrist
2200 EASTRIDGE LOOP, STE 1078
SAN JOSE, CA 95122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Wagstaff's NPI number?

The NPI number for Julie Wagstaff is 1124179908. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Julie Wagstaff located?

Julie Wagstaff practices at 2200 Eastridge Loop Eastridge Mall Ste 1078, San Jose, CA 95122. The listed phone number is (408) 270-6161.

What is Julie Wagstaff's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Julie Wagstaff enrolled in Medicare?

Yes. Julie Wagstaff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Julie Wagstaff accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Julie Wagstaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Wagstaff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.