Teresa Ann Erickson Wills, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003106 Issued in WA

Practice address

900 Meridian E Ste 18
Milton, WA 98354-7003

Phone

(253) 927-5252

Fax

(253) 927-4270

NPI assigned

Sep 20, 2006

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Teresa A Erickson Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milton-Edgewood Eye Clinic PLLCGroup PAC ID 6608923958, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milton-Edgewood Eye Clinic, PLLC

  • Optometrist
  • Milton, WA
  • NPI 1295973345
  Medicare reassignment Care Compare group NPD
• Teresa a E Wills OD

  dba Teresa A Erickson OD

  • Optometrist
  • Milton, WA
  • NPI 1235204587
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1891893442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MERIDIAN E STE 18",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983547003",
            "telephone_number": "253-927-5252",
            "fax_number": "253-927-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MERIDIAN E STE 18",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983547003",
            "telephone_number": "253-927-5252",
            "fax_number": "253-927-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "TERESA",
        "middle_name": "ANN ERICKSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027316",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "ERICKSON",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emmaculate Wamuti
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• Laura L Wieth, L.M.P.
• Lindsay Jennifer Wilkison, SLP
• Kevin Woodd Willcox, LMP, NCSA-CPT
• Blake E Wood, PT61183730
• Madeleine Wright
• Doris Yatta
• David Yearwood
• Abby Yuan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.

Verify at the official NPI Registry.