Diane G. Wilson, OD & Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2765 Issued in MO

Legal business name

DIANE G. WILSON, OD & ASSOCIATES, PC

Practice address

1235 Water Tower PL
Arnold, MO 63010-2142

Phone

(636) 296-8612

Fax

(636) 296-8055

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary E Scaglione

Title

Office Manager

Phone

(636) 296-8612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arnold EyeCare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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

• Carrie C Riley, O.D.

  • Optometrist
  • Arnold, MO
  • NPI 1801096532
  Medicare reassignment Care Compare group NPD
• Diane G Wilson, O.D.

  • Optometrist
  • Arnold, MO
  • NPI 1841236635
  Medicare reassignment Care Compare group
• Jon R Wilzonski, O.D.

  • Optometrist
  • Arnold, MO
  • NPI 1063074540
  Medicare reassignment Care Compare group
• Amy Schaag, O.D.

  • Optometrist
  • Arnold, MO
  • NPI 1356867816
  Medicare reassignment
• Jerri L Birsinger, O.D.

  • Optometrist
  • Arnold, MO
  • NPI 1760474662
  NPD (past)
• Jacob Austin Travis, OD

  • Optometrist
  • Union, MO
  • NPI 1639863392
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1770619637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WATER TOWER PL",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102142",
            "telephone_number": "636-296-8612",
            "fax_number": "636-296-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WATER TOWER PL",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102142",
            "telephone_number": "636-296-8612",
            "fax_number": "636-296-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE G. WILSON, OD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "SCAGLIONE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-296-8612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410035835",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnold EyeCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Delling, PT
• Ashley Deters
• Developmental Services of Jefferson County, Inc.
• Allison Dewald
• Diana Toler DC
• Stephanie Dickerson
• Tessa Dickinson, MOT, OTR/L
• Eileen Diel
• Dierbergs Markets Inc
• Bridget Kathryn Difranco, M.A.

• Optometrist in Arnold, MO
• Providers in Arnold, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.