Wilson Optometry Pc

LBN: Wilson Optometry Pc
Wilson Optometry Pc is an health care organization with primary practice located at 400 W Green Meadows Dr Suite 108, Greenfield IN 46140-3204. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wilson Optometry Pc can be contacted via phone (317) 477-3937, or through Wilson, Douglas James via phone (317) 477-3937.

Contact Information

Primary practice address
400 W Green Meadows Dr Suite 108 Greenfield IN 46140-3204
Fax: (317) 477-3937
Website:
Authorized official contact:
Name: Wilson, Douglas James Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002895AB Indiana

Profile Details

NPI number 1720261720
LBN Legal business name Wilson Optometry Pc
DBA Doing business as
Authorized official Wilson, Douglas James Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Jul 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720261720 NPPES
Indiana Other JARTL VSP
Indiana MEDICAID 200280210 VSP
Indiana Other 000000176992 VSP
Indiana Other 410043699 VSP
Indiana Other IN2895 VSP

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