Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689643561 Individual Practitioner Male Practitioner

Dr. Thomas Daniel Jagger , MD

Optometrist • Waverly, NY

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jagger, MD is a registered healthcare professional specializing in Optometrist in Waverly, NY. Practice services are available at 150 BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Broad St

Waverly, NY 148921320

Telephone 6075652177
Fax 6075652064
Associated Practice Facility / Clinic
🏢 Guthrie Medical Group, P.c. Facility NPI 1578755682

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waverly, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Waverly, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV003009

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License PA OEG000604

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001844952001 (PA)
Medicaid State Provider ID
02144190 (NY)
Commercial Insurance / Payer ID Rr Medicare Group
CC8362 (NY)
Commercial Insurance / Payer ID Rr Medicare Pin
410045675 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Timothy Fullmer , MSPT

Physical Therapist

NPI 1104989268

Master of Science in Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2011

Registered at 150 BROAD ST, WAVERLY, NY 148921320 (Tel: 6075652177)

📍
Updated Business Mailing Address August 02, 2011

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401625 (Tel: 5708885858)

👤
Provider Name / Credentials Updated August 02, 2011

Recorded as THOMAS JAGGER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Optometrist (License #TUV003009 in NY)

🟢
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689643561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: August 02, 2011
Sole Proprietor: No

Mailing Address

1 Guthrie Sq

Sayre, PA 188401625

Phone: 5708885858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.