Wilson & Bernatsky P a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001872 Issued in FL

Legal business name

WILSON & BERNATSKY P A

Practice address

655 Brandon Town Center Mall
Brandon, FL 33511-4770

Phone

(813) 681-1036

NPI assigned

May 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark Wilson, O.D.

Title

Optometrist

Phone

(813) 977-3862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1336431923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRANDON TOWN CENTER MALL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114770",
            "telephone_number": "813-681-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BRANDON TOWN CENTER MALL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114770",
            "telephone_number": "813-681-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON & BERNATSKY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-977-3862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Joy Williams, M.S. CCC-SLP
• Tanika Williams, APRN
• Trevor Williams, D.M.D
• Hailey Williamson, RBT
• Nathan Willis
• Asia Wilson
• Baylie Wilson, PT, DPT
• Brittania Thalia Wilson
• Brittany Wilson, MSW
• Carrie L Wilson, MA, LMHC

• Optometrist in Brandon, FL
• Providers in Brandon, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.