Nancy Lou Wilson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8049 Issued in CA

Practice address

4505 Barranca Pkwy Ste C
Irvine, CA 92604-4797

Phone

(949) 857-0676

Fax

(949) 857-2175

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nancy Lou Wilson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1316018955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044797",
            "telephone_number": "949-857-0676",
            "fax_number": "949-857-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044797",
            "telephone_number": "949-857-0676",
            "fax_number": "949-857-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NANCY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WILSON",
            "middle_name": "LOU",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alina Mae Wilson
• Elena Wilson, PMHNP-BC
• Jamie Wilson, OTR
• Michele Drisko Wilson, PHD
• Monserrat Almeraz Wilson
• Randirose Wilson
• Rasha Wilson
• Tiffany D Wilson, M.D.
• Whitney Wilson
• Zachary Clinton Wilson

• Optometrist in Irvine, CA
• Providers in Irvine, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.