Maddison Wilson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1044 Issued in NH

Practice address

580 Saint Johnsbury Rd Ste 12
Littleton, NH 03561-3437

Phone

(603) 444-2484

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shippee Family Eye Care PCGroup PAC ID 4183772239, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302

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 and National Provider Directory roles.

• Shippee Family Eye Care PC

  • Ophthalmology Physician
  • Littleton, NH
  • NPI 1114526928

  NH, Optometrist

  Medicare reassignment Care Compare group NPD
• Shippee Family Eye Care, P.C.

  • Optometrist
  • Lancaster, NH
  • NPI 1295976884

  NH, Optometrist

  Medicare reassignment Care Compare group NPD
• Shippee Family Eye Care PC

  • Optometrist
  • St Johnsbury, VT
  • NPI 1023407467
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Littleton Hospital Association

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1497337091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COLUMBUS BLVD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104243",
            "telephone_number": "401-486-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 SAINT JOHNSBURY RD STE 12",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613437",
            "telephone_number": "603-444-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MADDISON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-07-30",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133944",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann F Whitehead, RPH
• William S Holmes, OD
• Kerri Williamson
• Willow Ridge Senior Living-
• Clare Wilmot, M.D.
• Ji-Suk Kristen Yoo, D.O.
• Andrew Zizza

• All providers in Littleton, NH
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.