Wilson and Smith LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WILSON AND SMITH LLC

Practice address

1333 S Auto Mall Dr Ste 106
St George, UT 84770-6756

Phone

(435) 359-1444

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Dallin Wilson, ODNPI 1790212173

Title

Optometrist

Phone

(435) 359-1444

Specialties & licenses 1

Addresses

Other names 1

• Black Rock Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dallin Wilson, OD

  • Optometrist
  • St George, UT
  • NPI 1790212173
  Medicare reassignment NPD Authorized official
• Joseph Aaron Smith, O.D.

  • Optometrist
  • Washington, UT
  • NPI 1760744494
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1548094246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S AUTO MALL DR STE 106",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S AUTO MALL DR STE 106",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706756",
            "telephone_number": "435-359-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON AND SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DALLIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "435-359-1444",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Rock Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willow Bend Chiropractic, LLC
• Willow Creek Home Care of St. George, L.L.C.
• Donald Jason Willows, PA-C
• Haven Willyerd
• Kiarah Wilmsen
• Addilyn Wilson
• Andrew Wilson
• Chloe Wilson
• Dallin Wilson, OD
• Don Benjamin Wilson, PHARM D

• Optometrist in St George, UT
• Providers in St George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.