Active NPIOrganization

Douglas M. Wilson, O.d., P.c.

Optometrist in Rutland, Vermont

NPI Number1639390552
Practice location
71 Allen St Ste 201, Rutland, VT 05701-4570
Fax
802-775-4577
Last updated
April 23, 2008

Douglas M. Wilson, O.d., P.c. is a healthcare organization based in Rutland, VT. Douglas M. Wilson, O.d., P.c. practices in Rutland, VT. The NPI Number for Douglas M. Wilson, O.d., P.c. is 1639390552 and holds a License No. 0300000152 VT (VT). The current practice location address for Douglas M. Wilson, O.d., P.c. is 71 Allen St Ste 201, Rutland, VT 05701-4570 and can be reached out via phone at 802-775-9355 and via fax at 802-775-4577.

Provider Profile Details

NPI Number
1639390552
Provider Name
Douglas M. Wilson, O.d., P.c.
Provider Entity Type
Organization
Address
71 Allen St Ste 201, Rutland, VT 05701-4570
Phone Number
802-775-9355
Fax Number
802-775-4577
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Douglas M Wilson, OD · President · 802-775-9355
Provider Enumeration Date
May 1, 2007
Last Update Date
April 23, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Allen St Ste 201
Rutland, VT 05701-4570
State
Vermont
Zip
05701-4570
Phone Number
802-775-9355
Fax Number
802-775-4577
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
71 Allen St Ste 201
Rutland, VT 05701-4570
City
Rutland
State
VT
Zip
05701-4570
Phone Number
802-775-9355
Fax Number
802-775-4577

License Information

License Number
0300000152 VT
License State
VT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Douglas M. Wilson, O.d., P.c.?

The NPI number of Douglas M. Wilson, O.d., P.c. is 1639390552. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Douglas M. Wilson, O.d., P.c.?

Douglas M. Wilson, O.d., P.c. is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VT under license number 0300000152 VT.

Where does Douglas M. Wilson, O.d., P.c. practice?

The practice location is 71 Allen St Ste 201, Rutland, VT 05701-4570. The office can be reached at 802-775-9355 (phone) or 802-775-4577 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639390552 directly on the NPPES registry website.

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