RICHARD WAGNER , OD,PA
Optometry at Main St, Chiefland, FL

License number
Florida 13825
Category
Optometry
Type
Optometrist
Owner
Name: RICHARD WAGNER OD
Title: OPTOMETRY
Phone: (352) 493-4448
Address
Address
218 N Main St, Chiefland, FL 32626
National Provider ID: 1598980435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Richard Wagner, OD, PA

Chiefland, FL

Registration:
May 11, 2006
Addresses:
218 N Main St, Chiefland, FL 32626
PO Box 2622, Chiefland, FL 32644
State ID:
P06000067071
Business type:
Domestic for Profit Corporation
President, Secretary:
Richard Wagner (President, Secretary)

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