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DR. IRVEN ROBERT WAGNER O.D.
NPI 1376687814
Optometrist - Vision Therapy in Santa Rosa, CA

Active since February 17, 2007PECOS Enrolled
800 CODDINGTOWN CTR, SANTA ROSA, CA 95401(707) 526-1881(707) 542-2014 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Irven Robert Wagner O.d. NPPES

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

DR. IRVEN ROBERT WAGNER O.D. (NPI 1376687814) is an individual vision therapy provider in Santa Rosa, California, licensed in California (8372TPA) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376687814
Entity TypeIndividualMale
Primary Taxonomy152WV0400X
Provider Legal NameDR. IRVEN ROBERT WAGNERCredential: O.D.
Location Address800 CODDINGTOWN CTRSanta Rosa, CA 95401-3511
Mailing Address1945 Piner Rd Spc 118Santa Rosa, CA 95403-6911 · (707) 526-1881 · Fax (707) 542-2014
Phone(707) 526-1881
Fax(707) 542-2014
Sole ProprietorYes
Enumeration DateFebruary 17, 2007
Last NPPES UpdateApril 22, 2009
✔ NPI 1376687814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in CA · 8372TPA
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
800 CODDINGTOWN CTR, Santa Rosa, CA 95401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Irven Robert Wagner O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Irven Wagner's NPI number?

The NPI number for Irven Wagner is 1376687814. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Where is Irven Wagner located?

Irven Wagner practices at 800 Coddingtown Ctr, Santa Rosa, CA 95401. The listed phone number is (707) 526-1881.

What is Irven Wagner's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Irven Wagner enrolled in Medicare?

Yes. Irven Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Irven Wagner accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Irven Wagner 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 Irven Wagner was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.