| Jon Preston Wilson, OD | |
|
165 W 200 N, 71-7, Roosevelt, UT 84066-2834 | |
| (435) 722-2981 | |
| (435) 722-3732 |
| Full Name | Jon Preston Wilson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 25 Years |
| Location | 165 W 200 N, Roosevelt, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760477731 | NPI | - | NPPES |
| 49440639900001 | Other | UT | BCBS |
| 49440639900001 | Other | UT | VALUCARE |
| 1015 | Other | UT | OPTICARE |
| 67467 | Other | PEHP | |
| 000012521 | Other | UT | MEDICARE LEGACY NUMBER |
| 870444057 | Other | VSP | |
| 87041538400001 | Other | NTCA | |
| UT4063 | Other | EYEMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4944063-9934 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roosevelt Vision Clinic Pc | 9830269844 | 3 |
| Provider Name | Roosevelt Vision Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710973052 PECOS PAC ID: 9830269844 Enrollment ID: O20080603000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Preston Wilson, OD 165 W 200 N, 71-7, Roosevelt, UT 84066-2834 Ph: (435) 722-2981 | Jon Preston Wilson, OD 165 W 200 N, 71-7, Roosevelt, UT 84066-2834 Ph: (435) 722-2981 |
Roosevelt Vision Clinic, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732 | |
Mr. Scott H Kowallis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732 | |
Jason Kowallis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N, Roosevelt, UT 84066 Phone: 435-722-5890 | |
Cade John Kowallis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N # 71-1, Roosevelt, UT 84066 Phone: 435-823-2984 |