Active NPI
Wilson Horsley, M.D.
- Ophthalmology Physician
- Stoneham, MA
National Provider Identifier
1831272483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 47761
- Practice address
- 3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702 - Phone
- (781) 979-0960
- Fax
- (781) 979-0618
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 47761 | MA | Primary |
Addresses
Primary practice location
3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702
Mailing address
3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702
Phone (781) 979-0960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0152013 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47761 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horsley Eye Center | Ophthalmology | Past | Accepting new patients |
| Clear Vision Eye Center,Inc | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Stoneham, MA
- NPI 1114127610
-
- Ophthalmology Physician
- Stoneham, MA
- NPI 1063605251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1831272483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WOODLAND RD",
"address_2": "SUITE 120",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801702",
"telephone_number": "781-979-0960",
"fax_number": "781-979-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WOODLAND RD",
"address_2": "SUITE 120",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801702",
"telephone_number": "781-979-0960",
"fax_number": "781-979-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSLEY",
"first_name": "WILSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "47761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0152013",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.