Dr. Thomas Jeffrey Wagner, ODMS
Dr. Thomas Jeffrey Wagner, ODMS is an Optometry in Mystic, Connecticut. Graduated from Pennsylvania College of Optometry in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 36
- Trained at
- Pennsylvania College of Optometry
- Licensed in
- CT
- In the registry since
- 2006
Practice location Address checks out
12 Roosevelt AveMystic, CT 06355-2809
Phone: (860) 536-1313
Fax: (860) 572-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 002282 (CT) |
|---|
Record details
| NPI number | 1114993789 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ODMS |
| Sole proprietor | No |
| NPI enumerated | February 24, 2006 |
| Last updated in NPPES | March 24, 2020 |
| Certification date | March 24, 2020 |
| Mailing address | 540 Route 148, Killingworth, CT 06419-1107 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduated | 1990 (36 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mystic
-
Optimystic LLC
12 Roosevelt Ave, Mystic, CT 06355-2809 · (860) 536-1313
-
Total Vision-Eye Health Center, LLC
12 Coogan Blvd, Mystic, CT 06355-1938 · (860) 848-8777
-
Visions Sight & Learning Center
23 Clara Dr, Mystic, CT 06355-1959 · (860) 572-4805
-
Wagner Industries, Inc
5 Water St C/o Optimystic, Mystic, CT 06355-2507 · (860) 536-1313