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WAGONER EYE CLINIC INC
NPI 1497826358
Optometrist in Wagoner, OK

Active since November 13, 2006
1108 W CHEROKEE ST, WAGONER, OK 74467(918) 485-2123(918) 485-4777 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wagoner Eye Clinic Inc NPPES

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

WAGONER EYE CLINIC INC (NPI 1497826358) is a healthcare organization registered as an optometrist in Wagoner, Oklahoma and active in the NPI registry since November 2006. The organization lists Jeffrey Alan Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1497826358
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWAGONER EYE CLINIC INC
Location Address1108 W CHEROKEE STWagoner, OK 74467-4622
Mailing Address1108 W Cherokee StWagoner, OK 74467-4622 · (918) 485-2123 · Fax (918) 485-4777
Phone(918) 485-2123
Fax(918) 485-4777
Organization SubpartNo
Authorized OfficialJeffrey Alan MitchellPresident · (918) 485-2123
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1497826358 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 OK · 2018
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.
1108 W CHEROKEE ST, Wagoner, OK 74467
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Other Identifiers 4

Medicaid100759760AOK
Medicare NSC0493610002OK
Medicare PINDS5652OK
Medicare PINOKAAA3534OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

KARI LYNN WILKERSON OD
Optometrist
1108 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 485-2123
DR. JEFFREY A MITCHELL O.D.
Optometrist (Corneal and Contact Management)
1108 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 485-2123
MBR EYE LLC
Optometrist
1108 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 279-8830

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 Wagoner Eye Clinic Inc's NPI number?

The NPI number for Wagoner Eye Clinic Inc is 1497826358. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Wagoner Eye Clinic Inc located?

Wagoner Eye Clinic Inc is located at 1108 W Cherokee St, Wagoner, OK 74467. The listed phone number is (918) 485-2123.

What is Wagoner Eye Clinic Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Wagoner Eye Clinic Inc was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.