| Dr Douglas J Wilson, OD | |
|
400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 | |
| (317) 477-3937 | |
| (317) 477-3939 |
| Full Name | Dr Douglas J Wilson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 29 Years |
| Location | 400 W Green Meadows Dr, Greenfield, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235138876 | NPI | - | NPPES |
| 000000176992 | Other | IN | BCBS |
| 410043699 | Other | IN | RAILROAD MEDICARE |
| JARTL | Other | IN | EYEFINITY |
| IN2895 | Other | IN | EYEMED |
| 200280210A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002895A/B (Indiana) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 18002895A/B (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilson Eyecare Professionals, P.c. | 1254504608 | 2 |
| Provider Name | Wilson Eyecare Professionals, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669755575 PECOS PAC ID: 1254504608 Enrollment ID: O20111031000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas J Wilson, OD 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 Ph: (317) 477-3937 | Dr Douglas J Wilson, OD 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 Ph: (317) 477-3937 |
Faye L Peters, Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1250 N State St, Greenfield, IN 46140 Phone: 317-462-5949 | |
Dr. Caitlin Marie Parks, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 | |
Dr. Nicholas Joseph Mccolley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 Fax: 317-462-6625 | |
Dr. Elaine R Scott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 | |
Kelley Lynn Deak, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 740 W Green Meadows Dr Ste 300, Greenfield, IN 46140 Phone: 317-477-3937 Fax: 317-477-3939 | |
Dr. Monica Price Kowaleski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 946 N State St, Suite B, Greenfield, IN 46140 Phone: 317-402-0222 | |
Kasey Stolle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 W Green Meadows Dr Ste 300, Greenfield, IN 46140 Phone: 317-477-3937 Fax: 317-477-3939 |