| Jason Wayne Wilkerson, OD | |
|
506 Willow Street, Springfield, TN 37172 | |
| (615) 384-8435 | |
| (615) 384-0855 |
| Full Name | Jason Wayne Wilkerson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 506 Willow Street, Springfield, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215007026 | NPI | - | NPPES |
| 3943216 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD0000002007 (Tennessee) | Primary |
| 152W00000X | Optometrist | TN2007 (Tennessee) | Secondary |
| Provider Name | Springfield Primary Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417691585 PECOS PAC ID: 5890178545 Enrollment ID: O20220813000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Wayne Wilkerson, OD 506 Willow Street, Springfield, TN 37172 Ph: (615) 384-8435 | Jason Wayne Wilkerson, OD 506 Willow Street, Springfield, TN 37172 Ph: (615) 384-8435 |
Steven G Schoemer Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3563 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-384-5225 Fax: 615-384-1331 | |
David J Reed, OD Optometrist Medicare: Medicare Enrolled Practice Location: 506 Willow St, Springfield, TN 37172 Phone: 615-384-8435 Fax: 615-384-0859 | |
Dr. Jana Plant Socey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 506 Willow St, Springfield, TN 37172 Phone: 615-384-8435 | |
Dr. Larry Cook Fletcher, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3360 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-384-5088 | |
Springfield Primary Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 506 Willow St, Springfield, TN 37172 Phone: 615-384-8435 Fax: 615-384-0855 | |
Dr. Sarah Sutherland Baldwin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3563 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-384-5225 |