OPTOMETRY EYE CARE CENTET DR. B WAGNER OD
NPI 1881815777
Optometrist in North Hollywwod, CA

Active since May 01, 2007
12000 VICTORY BLVD, NORTH HOLLYWWOD, CA 91606(818) 985-2321(818) 985-6873 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optometry Eye Care Centet Dr. B Wagner Od NPPES

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

OPTOMETRY EYE CARE CENTET DR. B WAGNER OD (NPI 1881815777) is a healthcare organization registered as an optometrist in North Hollywwod, California and active in the NPI registry since May 2007. The organization lists Barry Alan Wagner, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1881815777
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBARRY A WAGNER OD A PROFESSIONAL CORPORATION
Location Address12000 VICTORY BLVDNorth Hollywwod, CA 91606
Mailing Address12000 Victory BlvdNorth Hollywwod, CA 91606 · (818) 985-2321 · Fax (818) 985-6873
Fax(818) 985-6873
Organization SubpartNo
Authorized OfficialBarry Alan WagnerOptometrist · (818) 985-2321
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1881815777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
12000 VICTORY BLVD, North Hollywwod, CA 91606

Other Names 1

Doing Business AsOptometry Eye Care Centet Dr. B Wagner Od

Other Identifiers 5

Medicare UPINT69984CA
Medicare PINWOP5104ACA
MedicaidGSD005410CA
Medicare PINWY190CA
MedicaidSD0051040CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optometry Eye Care Centet Dr. B Wagner Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Optometry Eye Care Centet Dr. B Wagner Od, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1922071646
12229 VENTURA BLVD
Studio City, CA 91604
(818) 880-2020
✔ PECOS3.0 mi
Optometry
NPI 1750796215
947 CALLE DEL PACIFICO
Glendale, CA 91208
(818) 438-3802
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Barry A Wagner Od A Professional Corporation's NPI number?

The NPI number for Barry A Wagner Od A Professional Corporation is 1881815777. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Optometry Eye Care Centet Dr. B Wagner Od.

Where is Barry A Wagner Od A Professional Corporation located?

Barry A Wagner Od A Professional Corporation is located at 12000 Victory Blvd, North Hollywwod, CA 91606. The listed phone number is (818) 985-2321.

What is Barry A Wagner Od A Professional Corporation's specialty?

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

Is Barry A Wagner Od A Professional Corporation enrolled in Medicare?

Yes. Barry A Wagner Od A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Barry A Wagner Od A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Barry A Wagner Od A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Barry A Wagner Od A Professional Corporation was last updated on October 3, 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.