| Wilson Eyecare Professionals Pc | |
|
400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 | |
| (317) 477-3937 | |
| (317) 477-3939 |
| Full Name | Wilson Eyecare Professionals Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 400 W Green Meadows Dr, Greenfield, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669755575 | NPI | - | NPPES |
| 000000176992 | Other | IN | ANTHEM BLUE CROSS AND BLUE SHIELD |
| JARTL | Other | IN | VSP |
| IN2895 | Other | IN | EYEMED |
| 200280210 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002895AB (Indiana) | Primary |
| Provider Name | Douglas James Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235138876 PECOS PAC ID: 8729034681 Enrollment ID: I20050324000247 |
| Provider Name | Kelley L Deak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184728123 PECOS PAC ID: 9436330008 Enrollment ID: I20110302000531 |
| Provider Name | Kasey Stolle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215420294 PECOS PAC ID: 0042565533 Enrollment ID: I20180625002813 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Eyecare Professionals Pc 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 Ph: (317) 477-3937 | Wilson Eyecare Professionals Pc 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 |