Organization · Type 2 NPI
William W Wagnon M D P A
Eyewear Supplier · Jasper, TX
NPI number
1154687747
Active
Practice location
1421 S Wheeler St
Jasper, TX 75951-5149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | F2087 (TX) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other eyewear supplier providers in Jasper
About NPI 1154687747
William W Wagnon M D P A's National Provider Identifier is 1154687747, issued on Apr 9, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jasper, TX. The record was last updated on Jun 22, 2012.