Kasey L Wilson, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2199 Issued in TN

Practice address

500 Maryville Hwy Ste 204
Seymour, TN 37865-5747

Phone

(865) 591-9367

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1003683996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARYVILLE HWY STE 204",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655747",
            "telephone_number": "865-591-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARYVILLE HWY STE 204",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655747",
            "telephone_number": "865-591-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KASEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Oliver Webb
• McKensie Lee Wehinger, PT, DPT
• Julia Ann Wells, MA, CCC-SLP
• Robert E White III, PA-C
• Jordan Florencia Wilm, MS, CCC-SLP
• Desiree Shanice Woodle, M.ED.
• Lisa S Woodson, APRN
• Monica Anne Wright, APRN, FNP-C, PMHNP-C
• Sarah Ann Wu, APN
• Winni Yang, BS

• Optician in Seymour, TN
• Providers in Seymour, TN by specialty
• Optician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.