What is Bruce Wagner's NPI number?

Bruce Wagner's National Provider Identifier (NPI) is 1053434035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bruce Wagner's specialty?

Bruce Wagner is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Bruce Wagner located?

Bruce Wagner's practice location on file with NPPES is 24040 Camino Del Avion Ste E, Monarch Beach, CA 92629-4005.

What is Bruce Wagner's phone number?

The practice phone number listed in the NPPES registry for Bruce Wagner is (949) 443-9110.

Is Bruce Wagner's NPI active?

Yes — Bruce Wagner's NPI (1053434035) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Bruce Wagner, OD

NPI 1053434035 · Optometrist · Monarch Beach, CA

Bruce Wagner, OD is a Optometrist provider in Monarch Beach, CA (NPI 1053434035).

Provider details

NPI number: 1053434035
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Female
Sole proprietor: No
License: 6376 (CA)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 6376 (CA)
Eye and Vision Services Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

24040 Camino Del Avion Ste E

Monarch Beach, CA 92629-4005

Phone: (949) 443-9110

Street-level locationGet directions

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Mailing address