Michael Wagner, OD
NPI 1215676572 · Optometrist · Mill Creek, WA
Michael Wagner, OD is a Optometrist provider in Mill Creek, WA (NPI 1215676572).
Provider details
- NPI number
- 1215676572
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OD61308446 (WA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-03
- Last updated
- 2022-06-03
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.