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Dr. Irven Robert Wagner, OD
Vision Therapy Optometrist in Santa Rosa, California
NPI 1376687814

Irven Robert Wagner is a Vision Therapy Optometrist based in Santa Rosa, CA and is specialized in Vision Therapy. Irven Robert Wagner practices in Santa Rosa, CA and has the professional credentials of OD. The NPI Number for Irven Robert Wagner is 1376687814 and holds a License No. 8372TPA (California).

The current practice location address for Irven Robert Wagner is 800 Coddingtown Ctr, Santa Rosa, CA and can be reached out via phone at 707-526-1881 and via fax at 707-542-2014.

Location: 800 Coddingtown Ctr, Santa Rosa, CA, 95403-6911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376687814
Provider Name
Irven Robert Wagner
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
800 Coddingtown Ctr, Santa Rosa, CA, 95403-6911
Phone Number
707-526-1881
Fax Number
707-542-2014
Provider Enumeration Date
02/17/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
800 Coddingtown Ctr
City
Santa Rosa
State
California
Zip
95401-3511
Phone Number
707-526-1881
Fax Number
707-542-2014
person
Provider Business Mailing Address Details
Address
800 Coddingtown Ctr
City
Santa Rosa
State
California
Zip
95401-3511
Phone Number
707-526-1881
Fax Number
707-542-2014
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Vision Therapy
Taxonomy
152WV0400X
License No.
8372TPA (California)
Definition
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.
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