| Douglas M. Wilson, O.d., P.c. | |
|
71 Allen St Ste 201, Rutland, VT 05701-4570 | |
| (802) 775-9355 | |
| (802) 775-4577 |
| Full Name | Douglas M. Wilson, O.d., P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 71 Allen St Ste 201, Rutland, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639390552 | NPI | - | NPPES |
| 0006627 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0300000152 VT (Vermont) | Primary |
| Provider Name | Douglas M Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235199126 PECOS PAC ID: 5890703888 Enrollment ID: I20060403000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas M. Wilson, O.d., P.c. 71 Allen St Ste 201, Rutland, VT 05701-4570 Ph: (802) 775-9355 | Douglas M. Wilson, O.d., P.c. 71 Allen St Ste 201, Rutland, VT 05701-4570 Ph: (802) 775-9355 |
Christina Huth Keshava, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 69 Allen St, Suite 15, Rutland, VT 05701 Phone: 802-775-0038 Fax: 802-747-0602 | |
Douglas Mark Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 71 Allen St, Ste 201, Rutland, VT 05701 Phone: 802-775-9355 Fax: 802-775-4577 | |
Dr. Scott F Webb, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198 N Main St, Rutland, VT 05701 Phone: 802-775-2368 Fax: 802-775-2369 | |
Leanna A Olennikov, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 198 N Main St, Rutland, VT 05701 Phone: 802-775-2368 Fax: 802-775-2369 | |
Dr. Robert Leif Erickson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 44 Washington St, Rutland, VT 05701 Phone: 802-775-0862 Fax: 802-747-7714 | |
Leif Erickson, Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 44 Washington St, Rutland, VT 05701 Phone: 802-775-0862 Fax: 802-747-7714 | |
Dr. Dianna Helen Ausprunk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 73 Center St, Rutland, VT 05701 Phone: 802-773-0424 Fax: 802-775-2858 |