| NPI | 1245660547 |
|---|---|
| Doing Business As | ALFRED A. WAGNER, O.D. |
| Entity Type | Organization |
| Authorized Contact | ALFRED A. WAGNER Owner/Optometrist 607-625-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV003310-1) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |