National Provider Identifier
Thomas Daniel Jagger, MD
Thomas Daniel Jagger, MD is listed in the NPPES registry with a primary specialty of Optometrist in Waverly, NY and a listed phone number of (607) 565-2177.
Profile Overview
- NPI
- 1689643561
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- March 14, 2006
- Last Updated
- August 02, 2011
Practice Location
- 150 Broad St
- Waverly, NY 14892-1320
Phone: (607) 565-2177
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Optometrist (152W00000X)
- Optometrist (152W00000X)
Full Record
- NPI
- 1689643561
- Entity Type
- Individual
- Last Name
- Jagger
- First Name
- Thomas
- Middle Name
- Daniel
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 150 Broad St
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1320
- Practice Country
- US
- Practice Phone
- (607) 565-2177
- Practice Fax
- (607) 565-2064
- Enumeration Date
- March 14, 2006
- Last Updated
- August 02, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Optometrist (152W00000X)
- Other Identifiers
- CC8362 (NY, Rr Medicare Group), 001844952001 (PA), 02144190 (NY), 410045675 (NY, Rr Medicare Pin)