DW Consulting LLC
Organization Active NPI Optometrist · Highland, MI
NPI 1144579368 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1144579368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DW CONSULTING LLC
- Practice address
- 932 Troon
Highland, MI 48357-4768 - Phone
- (248) 505-3214
- Fax
- (248) 887-3737
- NPI assigned
- Sep 4, 2012
- Organization subpart
- No
Authorized official
- Name
- Judith Denise Wilson, OD
- Title
- Owner
- Phone
- (248) 505-3214
Practitioners 1
-
Denise Wilson, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121127000218 | MI | Part B Supplier - Clinic/Group Practice | 0547411480 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison Heights, MI; Novi, MI; Waterford, MI |
National Provider Directory
Locations
27300 Wixom Rd
Novi, MI 48374
Phone (248) 349-6043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
932 Troon
Highland, MI 48357-4768
Mailing address
22500 W 8 Mile Rd
Southfield, MI 48033-4365
Phone (248) 354-1108
Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.