Wilson, Steven M.

Wilson, Steven M. is an individual health care provider with primary practice located at 519 State St , New Albany IN 47150-3620. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Steven M. can be contacted via phone (812) 948-0616.

Contact Information

Primary practice address
519 State St New Albany IN 47150-3620
Phone: (812) 948-0616
Fax: (812) 949-3447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0954DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 18001984A Indiana

Profile Details

NPI number 1093713273
LBN Legal business name Wilson, Steven M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093713273 NPPES
Indiana MEDICAID 200038300
Indiana MEDICAID 1056447
Indiana MEDICAID 77340487
Indiana Other 000000042621
Indiana MEDICAID 2433872000

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