Brent J Wilson is a Optometrist in Goodyear, Arizona. Brent J Wilson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brent J Wilson is 1063491660. The last update date is 2012-04-12.
Brent J Wilson's current location address is 2580 N Litchfield Rd, Goodyear, Arizona. You can contact this provider via phone number 6239322020 and fax number 6239322668. The mailing address for Brent J Wilson is 2580 N Litchfield Rd, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent J Wilson |
|---|---|
| Address | 2580 N Litchfield Rd, Goodyear, Arizona |
| Phone Number | 6239322020 |
| Fax Number | 6239322668 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1063491660 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2012-04-12 |
Provider Mailing Address Detail
| Address | 2580 N Litchfield Rd |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853952071 |
| Phone Number | 6239322020 |
| Fax Number | 6239322668 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1212 |
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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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What is the unique 10-digit identification code assigned to Brent J Wilson by the Centers for Medicare & Medicaid Services?
The Brent J Wilson has been issued the NPI (National Provider Identifier) 1063491660, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brent J Wilson located?
The Brent J Wilson is located at 2580 N Litchfield Rd, Goodyear, AZ 853952071.
What is Brent J Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent J Wilson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Brent J Wilson receive its 1063491660 assignment from the Centers for Medicare & Medicaid Services?
The Brent J Wilson was assigned its 1063491660 by the Centers for Medicare & Medicaid Services on 2006-01-11.
When was the information regarding Brent J Wilson most recently updated?
The details pertaining to the Brent J Wilson, including its address, specialty, and other relevant information, were last refreshed on 2012-04-12.