Individual provider · Type 1 NPI
Irven Robert Wagner, OD
Vision Therapy Optometrist · Santa Rosa, CA
Practice location
800 Coddingtown Ctr
Santa Rosa, CA 95401-3511
Fax (707) 542-2014
Mailing address
1945 Piner Rd Spc 118
Santa Rosa, CA 95403-6911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vision Therapy Optometrist Primary | 152WV0400X | 8372TPA (CA) |
Vision Therapy Optometrist: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
About NPI 1376687814
Irven Robert Wagner, OD's National Provider Identifier is 1376687814, issued on Feb 17, 2007. The primary taxonomy on file is Vision Therapy Optometrist (152WV0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 22, 2009.