Wilson Eye Care Center LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007848 Issued in IL

Legal business name

WILSON EYE CARE CENTER LTD

Practice address

2000 W Pioneer Pkwy
Suite 23
Peoria, IL 61615-1835

Phone

(309) 690-3336

Fax

(309) 690-7820

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robin Lynn Crocker-Wilson, OD

Title

Owner

Phone

(309) 690-3336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1194787382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W. PIONEER PARKWAY",
            "address_2": "SUITE 23",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-690-3336",
            "fax_number": "309-690-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY",
            "address_2": "SUITE 23",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151835",
            "telephone_number": "309-690-3336",
            "fax_number": "309-690-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON EYE CARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "CROCKER-WILSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-690-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Willis, APN
• Sue Willis, PTA
• Jennifer N Willman, CNP
• Delinda Demita Wills, MD
• Laura Wilshire, OD
• Laura L Wilson-Brown, P.A.
• Angela Wilson, PMHNP-BC
• Dani Wilson
• James P Wilson, OD
• Jared Neil Wilson, DO

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.