Active NPI
Erica Wilson
- Optometrist
- Mount Vernon, OH
National Provider Identifier
1629765078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.007136
- Practice address
- 1558 Coshocton Ave
Mount Vernon, OH 43050-5416 - Phone
- (740) 263-4323
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.007136 | OH | Primary |
Addresses
Primary practice location
1558 Coshocton Ave
Mount Vernon, OH 43050-5416
Mailing address
1130 Lake Forest Dr
Hebron, OH 43025-9008
Phone (989) 280-7624
Other names 1
- Erica Treiber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1130 Lake Forest Dr
Hebron, OH 43025-9008
4855 Hollingbourne CT
Columbus, OH 43214-4309
PO Box J
Raynham, MA 02767
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Eyecare LLC | Optometrist | Current | Accepting new patients |
Locations
1558 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 263-4323
Organizations & group practices 1
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.
-
- Optometrist
- Mount Vernon, OH
- NPI 1932893468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1629765078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 LAKE FOREST DR",
"city": "HEBRON",
"state": "OH",
"postal_code": "430259008",
"telephone_number": "989-280-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 COSHOCTON AVE",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430505416",
"telephone_number": "740-263-4323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ERICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.007136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "TREIBER",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.