Molly Rachel Wilson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10111 Issued in TX

Practice address

9218 Potranco Rd Ste 105
San Antonio, TX 78251-2275

Phone

(210) 858-4001

NPI assigned

Mar 22, 2021

Last updated

Jul 8, 2022By the provider in NPPES

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Elite Vision Satx PLLC

  dba Elite Vision

  • Optometrist
  • San Antonio, TX
  • NPI 1346882644
  NPD (past)
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Potranco Eye Care, PLLC

  • Optometrist
  • San Antonio, TX
  • NPI 1164005922
  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1023694858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 MEDICAL DR APT 918",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292285",
            "telephone_number": "979-248-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512275",
            "telephone_number": "210-858-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7915 W Loop 1604 N Ste 118",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782544661",
            "country_code": "US",
            "telephone_number": "210-257-0940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Empresario Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782454012",
            "country_code": "US",
            "telephone_number": "210-957-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MOLLY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Antonette Wilson, MS CCC SLP
• Mark P Wilson, FNP
• Mark S Wilson, MD
• Michael J Wilson, M.D.
• Michael Lewis Wilson
• Nevaeh Wilson
• Nicole Alexandria Wilson
• Patrick Henry Wilson, M.D.
• Rachel Eleanor Wilson, LPC
• Rebecca Wilson, LMHC, LPC-S

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.