Active NPI
Joshua David Wilson, O.D.
- Optometrist
- Nashville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.009850
- Practice address
- 250 E Elm St
Nashville, IL 62263-1710 - Phone
- (618) 327-3231
- Fax
- (618) 327-8748
- NPI assigned
- Jul 11, 2006
- Last updated
- Feb 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.009850 | IL | Primary |
| Optometrist | 152W00000X | 2006018214 | MO |
Addresses
Primary practice location
250 E Elm St
Nashville, IL 62263-1710
Mailing address
250 E Elm St
Nashville, IL 62263-1710
Phone (618) 327-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
821 W Hwy 50
O Fallon, IL 62269-1828
Phone (618) 680-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 97.98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.009850 | IL | MD | Optometrist |
| 2006018214 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avc Optometry Inc | Optometrist | Current | Accepting new patients |
| Avc Optometry Inc | Optometrist | Current | Accepting new patients |
| Granite City Vision, Inc. | Optometrist | Past | Accepting new patients |
| Vision Care Consultants Inc | Optometrist | Past | Accepting new patients |
Locations
3540 N Belt W
Ste C
Belleville, IL 62226
Phone (618) 235-4433
840 Admiral Weinel Blvd
Columbia, IL 62236
Phone (618) 281-2929
1200 N State St
Freeburg, IL 62243
Phone (618) 539-5620
250 E Elm St
Nashville, IL 62263
Phone (618) 327-3231
Organizations & group practices 9
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.
-
- Optometrist
- Columbia, IL
- NPI 1982348587
-
- Optometrist
- Nashville, IL
- NPI 1801168893
-
- Optometrist
- Belleville, IL
- NPI 1912410390
-
- Preferred Provider Organization
- Granite City, IL
- NPI 1174756902
Optometrist
-
- Optometrist
- Saint Louis, MO
- NPI 1336321637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1093740821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E ELM ST",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "622631710",
"telephone_number": "618-327-3231",
"fax_number": "618-327-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E ELM ST",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "622631710",
"telephone_number": "618-327-3231",
"fax_number": "618-327-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOSHUA",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.009850",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2006018214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, IL
- Washington County Hospital District (Washington County Hospital Walk In Clinic)
- Washington County Hospital District
- Washington County Hospital District (Washington County Hospital)
- Washington County Vocational Workshop
- Harold Whitworth, C.R.N.A.
- Michael Kenton Wilson, OD
- Jerome Allen Wisehart
- Bonni S Yaekel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.