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

Q: 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.

Q: What is Irven Wagner's specialty?

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

Q: 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.

Active since February 17, 2007

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: October 18, 2026.

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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.

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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.

What insurance does Irven Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 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.