Individual provider Active NPI

Gary Waine Wilson, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1083742027
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10467 Issued in OK
Practice address
7101 NW Expressway
Suite 335
Oklahoma City, OK 73132-1561
Phone
(405) 722-2020
Fax
(405) 516-6126
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10467 OK Primary

Addresses

Primary practice location

7101 NW Expressway
Suite 335
Oklahoma City, OK 73132-1561

Mailing address

7101 NW Expressway
Suite 335
Oklahoma City, OK 73132-1561
Phone (405) 722-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10467OKMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1083742027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY",
            "address_2": "SUITE 335",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321561",
            "telephone_number": "405-722-2020",
            "fax_number": "405-516-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY",
            "address_2": "SUITE 335",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321561",
            "telephone_number": "405-722-2020",
            "fax_number": "405-516-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GARY",
        "middle_name": "WAINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "10467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.