Dr Steven Michael Wilson, OD | |
2108 N Patterson St, Valdosta, GA 31602-2947 | |
(229) 244-3000 | |
(229) 244-1934 |
Full Name | Dr Steven Michael Wilson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2108 N Patterson St, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326008459 | NPI | - | NPPES |
00213342A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OP1564 (Florida) | Secondary |
152W00000X | Optometrist | OPT000922 (Georgia) | Primary |
Provider Name | Steven M. Wilson, O.d., P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750506671 PECOS PAC ID: 4789644857 Enrollment ID: O20041013000537 |
Mailing Address | Practice Location Address |
---|---|
Dr Steven Michael Wilson, OD Po Box 3211, Valdosta, GA 31604-3211 Ph: (229) 244-3000 | Dr Steven Michael Wilson, OD 2108 N Patterson St, Valdosta, GA 31602-2947 Ph: (229) 244-3000 |
Dr. Carlos Ivan Ortiz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3274 Inner Perimeter Rd, Valdosta, GA 31602 Phone: 229-253-9530 | |
Eye Center Optical, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2108 N Patterson St, Valdosta, GA 31602 Phone: 229-244-2790 | |
Affinity Health Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4380 Kings Way, Valdosta, GA 31602 Phone: 229-391-4100 Fax: 229-391-4508 | |
At Home Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4147 Ginger Trl, Valdosta, GA 31602 Phone: 504-554-1111 | |
Deborah F. Mcdonald, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 N Ashley St, Valdosta, GA 31602 Phone: 229-247-8484 Fax: 229-247-7996 | |
Southern Eye Center, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2310 N Patterson St, Suite B, Valdosta, GA 31602 Phone: 229-247-2020 Fax: 229-247-5600 |