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

Michael Scott Wagner, OD

Individual provider Optometrist · NPI 1215676572

Michael Scott Wagner, OD is an Optometry in Mill Creek, Washington. Graduated from Southern College of Optometry in 2022, 4 years ago. Practices with Olympia Vision Clinic and Contact Lens Center, PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Trained at
Southern College of Optometry
Licensed in
WA
In the registry since
2022
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

16708 Bothell Everett Hwy Ste 103
Mill Creek, WA 98012-6345
Phone: (425) 481-4440
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD61308446 (WA)

Record details

NPI number1215676572
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESJune 3, 2022
Certification dateApril 21, 2022
Mailing address16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012-6345

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Olympia Vision Clinic And Contact Lens Center, Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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