Organization Active NPI

Wilkinson Eye Center

  • Ophthalmology Physician
  • Clarkston, MI
National Provider Identifier
1134460272
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
WW406185 Issued in MI
Legal business name
WILKINSON EYE CENTER
Practice address
6875 Dixie Hwy
Clarkston, MI 48346-5106
Phone
(248) 625-5922
Fax
(248) 625-2016
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Lisa Rappaport
Title
Practice Manager
Phone
(248) 334-4931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X WW406185 MI Primary

Addresses

Primary practice location

6875 Dixie Hwy
Clarkston, MI 48346-5106

Mailing address

6875 Dixie Hwy
Clarkston, MI 48346-5106
Phone (248) 625-5922

National Provider Directory

National Provider Directory

Locations

6875 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1134460272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465106",
            "telephone_number": "248-625-5922",
            "fax_number": "248-625-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465106",
            "telephone_number": "248-625-5922",
            "fax_number": "248-625-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-334-4931"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "WW406185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.