| Dr Steven M Wilson, OD | |
|
519 State St, New Albany, IN 47150-3620 | |
| (812) 948-0616 | |
| (812) 949-3447 |
| Full Name | Dr Steven M Wilson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 519 State St, New Albany, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093713273 | NPI | - | NPPES |
| 200038300 | Medicaid | IN | |
| 1056447 | Medicaid | KY | |
| 77340487 | Medicaid | KY | |
| 000000042621 | Other | KY | ANTHEM |
| 2433872000 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0954DT (Kentucky) | Secondary |
| 152W00000X | Optometrist | 18001984A (Indiana) | Primary |
| Provider Name | John Kenyon American Eye Institute, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447259510 PECOS PAC ID: 5496640351 Enrollment ID: O20040219000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven M Wilson, OD 519 State St, New Albany, IN 47150-3620 Ph: (812) 948-0616 | Dr Steven M Wilson, OD 519 State St, New Albany, IN 47150-3620 Ph: (812) 948-0616 |
Braaten Family Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3602 Northgate Ct, Ste 29, New Albany, IN 47150 Phone: 812-944-2021 Fax: 812-945-0412 | |
Dr James R Nolan Dr Ronald R Nolan Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1819 State St, New Albany, IN 47150 Phone: 812-944-6428 Fax: 812-945-7240 | |
Sofia Braunstein, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 519 State St, New Albany, IN 47150 Phone: 812-948-0616 | |
Kaylea J. Percal, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 519 State St, New Albany, IN 47150 Phone: 812-948-0616 Fax: 812-949-3447 | |
Kelly Neidiffer Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4326 Charlestown Rd, New Albany, IN 47150 Phone: 812-945-0023 Fax: 812-945-0291 | |
Robert Travis Whitlow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 519 State St, New Albany, IN 47150 Phone: 812-948-0616 |