Dr Roger W Wilson, OD | |
1551 E Stop 12 Rd, Indianapolis, IN 46227-1006 | |
(317) 883-4970 | |
Not Available |
Full Name | Dr Roger W Wilson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 25 Years |
Location | 1551 E Stop 12 Rd, Indianapolis, Indiana |
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 |
---|---|---|---|
1427064385 | NPI | - | NPPES |
IN3054 | Other | EYEMED VISION NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003054A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wisconsin Vision Inc | 5698676518 | 30 |
Provider Name | Wisconsin Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134179427 PECOS PAC ID: 5698676518 Enrollment ID: O20050826000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger W Wilson, OD 282 Wakefield Dr E, Greenwood, IN 46142-8801 Ph: (317) 881-0507 | Dr Roger W Wilson, OD 1551 E Stop 12 Rd, Indianapolis, IN 46227-1006 Ph: (317) 883-4970 |
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