Michael Edward Wilson in Fayetteville - Optometrist

Michael Edward Wilson - NPI 1427073121

Michael Edward Wilson is a Optometrist in Fayetteville, Georgia. Michael Edward Wilson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael Edward Wilson is 1427073121. The last update date is 2010-07-28.

Michael Edward Wilson's current location address is 320 N Jeff Davis Drive, Fayetteville, Georgia. You can contact this provider via phone number 7704612144 and fax number 7704615792. The mailing address for Michael Edward Wilson is 320 N Jeff Davis Drive, Fayetteville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Edward Wilson
Address 320 N Jeff Davis Drive, Fayetteville, Georgia
Phone Number 7704612144
Fax Number 7704615792
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1427073121
Provider Enumeration Date 2006-07-13
Last Updated Date 2010-07-28

Provider Mailing Address Detail

Address 320 N Jeff Davis Drive
City Fayetteville
State Georgia (GA)
Post Code 30214
Phone Number 7704612144
Fax Number 7704615792

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No GA800
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00044503 RAILROAD MEDICARE
456290001 DMERC

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FAQs about Michael Edward Wilson

What is the unique 10-digit identification code assigned to Michael Edward Wilson by the Centers for Medicare & Medicaid Services?

The Michael Edward Wilson has been issued the NPI (National Provider Identifier) 1427073121, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Edward Wilson is physically located?

The Michael Edward Wilson is physically situated at the following address: 320 N Jeff Davis Drive, Fayetteville, GA, 30214.

What is the Michael Edward Wilson's area of specialization and corresponding taxonomy classification?

The Michael Edward Wilson's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date did the Michael Edward Wilson receive its 1427073121 assignment from the Centers for Medicare & Medicaid Services?

The Michael Edward Wilson was assigned its 1427073121 by the Centers for Medicare & Medicaid Services on 2006-07-13.

When was the Michael Edward Wilson's information last updated?

The Michael Edward Wilson's information was last updated on 2010-07-28.

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