Tyrone E Wilson
Technician/Technologist, Optician in Dorchester, Massachusetts
1700602174- Practice location
- 98 Dakota St Apt 2, Dorchester, MA 02124-1270
- Phone
- 857-406-9883
- Fax
- —
- Last updated
- December 8, 2024
Tyrone Ervin Wilson is a Technician/Technologist, Optician based in Dorchester, MA. Tyrone Ervin Wilson practices in Dorchester, MA. The NPI Number for Tyrone Ervin Wilson is 1700602174 and holds a License No. 6629 (MA). The current practice location address for Tyrone Ervin Wilson is 98 Dakota St Apt 2, Dorchester, MA 02124-1270 and can be reached out via phone at 857-406-9883.
Provider Profile Details
- NPI Number
- 1700602174
- Provider Name
- Tyrone Ervin Wilson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 98 Dakota St Apt 2, Dorchester, MA 02124-1270
- Phone Number
- 857-406-9883
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 2, 2024
- Last Update Date
- December 8, 2024
- Certification Date
- December 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 98 Dakota St Apt 2
Dorchester, MA 02124-1270 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02124-1270
- Phone Number
- 857-406-9883
Provider Business Mailing Address Details
- Address
- 757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190 - City
- Dorchester
- State
- MA
- Zip
- 02122-3190
- Phone Number
- 857-406-9883
License Information
- License Number
- 6629
- License State
- MA
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tyrone E Wilson?
The NPI number of Tyrone E Wilson is 1700602174. It was assigned on December 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Tyrone E Wilson?
Tyrone E Wilson is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 6629.
Where does Tyrone E Wilson practice?
The practice location is 98 Dakota St Apt 2, Dorchester, MA 02124-1270. The office can be reached at 857-406-9883 (phone).
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 1700602174 directly on the NPPES registry website.