David Russell Wilson in Hagerstown - Optometrist
David Russell Wilson - NPI 1407931629
David Russell Wilson is a Optometrist in Hagerstown, Maryland. David Russell Wilson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for David Russell Wilson is 1407931629. The last update date is 2007-07-08.
David Russell Wilson's current location address is 19336 Leitersburg Pike, Hagerstown, Maryland. You can contact this provider via phone number 7172584422 and fax number 7172584245. The mailing address for David Russell Wilson is 19336 Leitersburg Pike, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Russell Wilson |
|---|---|
| Address | 19336 Leitersburg Pike, Hagerstown, Maryland |
| Phone Number | 7172584422 |
| Fax Number | 7172584245 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1407931629 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19336 Leitersburg Pike |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 21742 |
| Phone Number | 7172584422 |
| Fax Number | 7172584245 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OEG001476 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1011408310002 | PA | -- | |
| 64392302 | MD | CAREFIRST BLUE CROSS BLUE | |
| WI1634058 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David Russell Wilson by the Centers for Medicare & Medicaid Services?
The David Russell Wilson has been assigned the NPI (National Provider Identifier) 1407931629 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David Russell Wilson is geographically located?
The David Russell Wilson is physically situated at the following location: 19336 Leitersburg Pike, Hagerstown, MD, 21742.
What is David Russell Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Russell Wilson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the David Russell Wilson receive the assignment of its 1407931629 from the Centers for Medicare & Medicaid Services?
The David Russell Wilson was issued its 1407931629 by the Centers for Medicare & Medicaid Services on 2006-10-26.
When was the David Russell Wilson's information last updated?
The David Russell Wilson's information was last updated on 2007-07-08.