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PAUL WAGNER OD PLC
NPI 1912218405
Optometrist in Chandler, AZ

Active since June 29, 2010
2955 W ELLIOT RD, STE.1, CHANDLER, AZ 85224(480) 838-4044(480) 838-4072 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Paul Wagner Od Plc NPPES

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

PAUL WAGNER OD PLC (NPI 1912218405) is a healthcare organization registered as an optometrist in Chandler, Arizona and active in the NPI registry since June 2010. The organization lists Paul A Wagner, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1912218405
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePAUL WAGNER OD PLC
Location Address2955 W ELLIOT RD, STE.1Chandler, AZ 85224-1620
Mailing Address2955 W Elliot Rd, Ste.1Chandler, AZ 85224-1620 · (480) 838-4044 · Fax (480) 838-4072
Phone(480) 838-4044
Fax(480) 838-4072
Organization SubpartNo
Authorized OfficialPaul A WagnerOptometrist · (480) 838-4044
Enumeration DateJune 29, 2010
Last NPPES UpdateAugust 25, 2010
✔ NPI 1912218405 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 AZ · 587
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.
2955 W ELLIOT RD, Chandler, AZ 85224
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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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Wagner Od Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Paul Wagner Od Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Annalee Nix, O.D.
Optometry
NPI 1144450495
2955 W ELLIOT RD STE 1
Chandler, AZ 85224
(480) 838-4044
✔ PECOSSame address
Paul Wagner, OD PLC
Optometry
NPI 1609932888
2955 W. ELLIOT RD. SUITE 1
Chandler, AZ 85224
(480) 838-4044
✔ PECOSSame address
Libbi Tracy, O.D.
Optometry
NPI 1699847384
1121 S GILBERT RD SUITE 103
Mesa, AZ 85204
(480) 854-3310
✔ PECOS✔ Accepts Medicare6.8 mi
Mindy Hagstrom, O.D.
Optometry
NPI 1669799664
3635 E INVERNESS AVE STE 107
Mesa, AZ 85206
(480) 372-8950
✔ PECOS✔ Accepts Medicare8.4 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 Paul Wagner Od Plc's NPI number?

The NPI number for Paul Wagner Od Plc is 1912218405. It was assigned to this organization in the NPPES registry on June 29, 2010.

Where is Paul Wagner Od Plc located?

Paul Wagner Od Plc is located at 2955 W Elliot Rd Ste.1, Chandler, AZ 85224. The listed phone number is (480) 838-4044.

What is Paul Wagner Od Plc's specialty?

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

Is Paul Wagner Od Plc enrolled in Medicare?

Yes. Paul Wagner Od Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul Wagner Od Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Paul Wagner Od Plc. 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, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Paul Wagner Od Plc accept?

Health plans from BlueCross BlueShield of Tennessee list Paul Wagner Od Plc 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 Paul Wagner Od Plc was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.