Wight Optometric PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.007443 Issued in IL

Legal business name

WIGHT OPTOMETRIC PC

Doing business as

american vision center

Practice address

1975 Pawlisch Dr
Rockford, IL 61112-1069

Phone

(815) 332-3310

Fax

(815) 332-5514

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald E Wight, OD

Title

Owner

Phone

(815) 332-3310

Specialties & licenses 1

Addresses

Other names 1

• american vision center Doing business as

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1316107568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 PAWLISCH DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121069",
            "telephone_number": "815-332-3310",
            "fax_number": "815-332-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 PAWLISCH DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121069",
            "telephone_number": "815-332-3310",
            "fax_number": "815-332-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGHT OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WIGHT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-332-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.007443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "american vision center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Whitney, PA-C
• Gena Whitson, LCPC
• Christine Grace Wholey, MT-BC
• Marilyn Kendrick Wholey, MS,CCC/SLP,L
• Amanda Wieland, LSW
• David Allen Wight, M.D.
• Renee Wihlborg
• Wilderness & Wonder Counseling PLLC
• Teresa C. Wilkins
• Taylor Wilkinson, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.