Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Irven Robert Wagner, OD

Individual provider Vision Therapy Optometrist · NPI 1376687814

Dr. Irven Robert Wagner, OD is a Vision Therapy Optometrist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

800 Coddingtown Ctr
Santa Rosa, CA 95401-3511
Phone: (707) 526-1881
Fax: (707) 542-2014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X · Licence 8372TPA (CA)

Record details

NPI number1376687814
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 17, 2007
Last updated in NPPESApril 22, 2009