Mason Ronald Wilner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

661 Issued in ND

Practice address

3003 32ND Ave S
Suite 8
Fargo, ND 58103-6163

Phone

(701) 293-8101

Fax

(701) 293-7998

NPI assigned

Jul 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Fargo Eyecare Associates PCGroup PAC ID 0244507754, 5 clinicians

Eyecare Associates, PCGroup PAC ID 0648239301, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West Fargo Eyecare Associates PC

  • Optometrist
  • West Fargo, ND
  • NPI 1871031153
  Medicare reassignment Care Compare group NPD Authorized official
• Eyecare Associates, PC

  • Optometrist
  • Fargo, ND
  • NPI 1811077100
  Medicare reassignment Care Compare group NPD
• Valley Laser Eye Center L.L.C.

  dba TLC Laser Eye Centers Fargo

  • Clinic/Center
  • Fargo, ND
  • NPI 1851504302
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1295991396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 32ND AVE S",
            "address_2": "SUITE 8",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036163",
            "telephone_number": "701-293-8101",
            "fax_number": "701-293-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 32ND AVE S",
            "address_2": "SUITE 8",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036163",
            "telephone_number": "701-293-8101",
            "fax_number": "701-293-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILNER",
        "first_name": "MASON",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Willis
• Willow Health, PLLC
• Erin Marie Wilmes Reiniger, APRN, FNP-C
• Julia Rose Wilmesmeier
• Laura J Wilner, NP
• Wilson Physical Therapy
• Chloe Lyn Wilson
• Hannah Kate Wilson, PHD, RDN, LRD
• Jay David Wilson, DPT
• Katherine Wilson

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.

Verify at the official NPI Registry.