Wilson Family Eyecare PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001687 Issued in WA

Legal business name

WILSON FAMILY EYECARE PS

Practice address

617 Market St
Prosser, WA 99350-1341

Phone

(509) 786-3111

Fax

(509) 786-3188

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Robert L WilsonNPI 1952484446

Title

Owner

Phone

(509) 786-3111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Robert L Wilson, OD

  • Optometrist
  • Prosser, WA
  • NPI 1952484446

  O20100930078584

  Same enrollment

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Wilson, OD

  • Optometrist
  • Prosser, WA
  • NPI 1952484446
  Medicare reassignment NPD Authorized official
• Scott Lindquist, O.D.

  • Optometrist
  • Prosser, WA
  • NPI 1609300771
  Medicare reassignment NPD

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1871846030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MARKET ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501341",
            "telephone_number": "509-786-3111",
            "fax_number": "509-786-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 MARKET ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501341",
            "telephone_number": "509-786-3111",
            "fax_number": "509-786-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY EYECARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-786-3111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023131",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Weis
• Cortney Jean White
• Melinda White, LMP
• William Harrison Smith (Valley Anesthesia Service)
• Landon James Williamson, DNAP
• Robert L Wilson, OD
• Stefanie Jean Wisse, RD
• Rebecca Wray
• Yakima Valley Farm Workers Clinic (Valley Vista Medical Group)
• Annie Yi, MD

• Optometrist in Prosser, WA
• Providers in Prosser, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.