IndividualActive
Irven Wagner, O.D.
NPI 1376687814 · Vision Therapy Optometrist · Santa Rosa, CA
Irven Wagner, O.D. is a Vision Therapy Optometrist provider in Santa Rosa, CA (NPI 1376687814).
Provider details
- NPI number
- 1376687814
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8372TPA (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 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
800 Coddingtown Ctr
Santa Rosa, CA 95401-3511
Phone: (707) 526-1881
Fax: (707) 542-2014
Street-level locationGet directions
Mailing address
1945 Piner Rd Spc 118
Santa Rosa, CA 95403-6911
Registry dates
- Enumerated
- 2007-02-17
- Last updated
- 2009-04-22
Frequently asked questions
- What is Irven Wagner's NPI number?
- Irven Wagner's National Provider Identifier (NPI) is 1376687814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Irven Wagner's specialty?
- Irven Wagner is listed in the NPPES registry with a primary specialty of Vision Therapy Optometrist (Eye and Vision Services Providers).
- Where is Irven Wagner located?
- Irven Wagner's practice location on file with NPPES is 800 Coddingtown Ctr, Santa Rosa, CA 95401-3511.
- What is Irven Wagner's phone number?
- The practice phone number listed in the NPPES registry for Irven Wagner is (707) 526-1881.
- Is Irven Wagner's NPI active?
- Yes — Irven Wagner's NPI (1376687814) is active in the NPPES registry as of the last update on 2009-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.