Robert Luke Wagoner is a Dover, Delaware based male Optometrist with 19 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Robert Luke Wagoner is 13-0001302 for Optometry in Delaware. Robert Luke Wagoner examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Robert Luke Wagoner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O. D.
Experience:
19+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
885 S Governors Ave, Dover, Delaware, 19904-4158
Phone:
302-734-5861
Fax:
302-734-1921
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012931371
Enrollment ID:
I20120712000874
NPI Number:
1568551265
NPI Enumeration Date:
12 Oct, 2006
NPI Last Update On:
16 Nov, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Luke Wagoner are as mentioned below.
License Number
Specialization
State
Status
13-0001302
Optometry
Delaware
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Robert Luke Wagoner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
11534593
Other
Delaware
CAQH
1568551265
Other
Delaware
NPI
1245251313
Other
GROUP NPI
G00016
Other
MEDICARE GROUP PIN
018775H16
Other
MEDICARE PTAN
161525705
Other
Delaware
BCBS
I3-0001302
Other
Delaware
LICENSE
1000039008
Medicaid
Delaware
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
885 S Governors Ave, Dover, Delaware
Zip:
19904-4158
Phone Number:
302-734-5861
Fax Number:
302-734-1921
Patients can reach Robert Luke Wagoner at 885 S Governors Ave, Dover, Delaware or can call to book an appointment on 302-734-5861. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.