NPI age
19 years
Enumerated 2006-08-11
● Active
Type 1 · Individual
DR. Bret Bouton Wagenhorst, M.D.
Wagenhorst is 1 of 8 ophthalmology providers in Tifton and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
1803 Old Ocilla Rd
Tifton, GA 317941617
Mailing address
907 18th St E Ste 400
Tifton, GA 317943684
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 077471001 | CIGNA |
| 05 (GA) | 00760856A | |
| 01 (GA) | 180041335 | RRMC |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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