Steven C. Wilson, O.D. Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

WV758OD Issued in WV

Legal business name

STEVEN C. WILSON, O.D. INC.

Practice address

126 W 2ND Ave
Williamson, WV 25661-3104

Phone

(304) 235-2020

Fax

(304) 235-8665

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Steven C. Wilson, O.D.NPI 1538265178

Title

Ceo

Phone

(304) 235-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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

• Steven C. Wilson, O.D.

  • Optometrist
  • Williamson, WV
  • NPI 1538265178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1700048436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256611637",
            "telephone_number": "304-235-2020",
            "fax_number": "304-235-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613104",
            "telephone_number": "304-235-2020",
            "fax_number": "304-235-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C. WILSON, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-235-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "WV758OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "0149994000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5003820001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5003820001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dawn Stanley
• Destinee Faith Stanley
• Melissa Nichole Stanley
• Natasha Lynn Stanley
• Emilee Dawn Stepp
• Patricia Stone
• Timothy Harold Stone
• Marlena Stratton
• Dana Kay Strom
• Jeremy Robert Stuck, MPT

• Durable Medical Equipment & Medical Supplies in Williamson, WV
• Providers in Williamson, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.