Whalio Doctors

NPI 1013052257

Frederick Joseph Wagner, OD

Practitioner Optometrist Carlisle, MA

Practice location

Address
101 Kimball Rd, Carlisle, MA 01741
Phone
(978) 371-2337
Fax
(978) 371-2297

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2408 (MA)

Registry record

NPI
1013052257
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.