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

Dr. Peter Steven Wagoner, OD

Individual provider Optometrist · NPI 1952824211

Dr. Peter Steven Wagoner, OD is an Optometry in Westhampton Beach, New York. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
9
Licensed in
NY, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

16 Old Riverhead Rd
Westhampton Beach, NY 11978-1401
Phone: (631) 903-3348
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 009237 (NY)
Optometrist Taxonomy 152W00000X · Licence OD60770099 (WA)

Record details

NPI number1952824211
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address16 Old Riverhead Rd Ste B, Westhampton Beach, NY 11978-1401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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