James E Wilson, OD | |
10610 N Pennsylvania St, Ste B, Indianapolis, IN 46280-2000 | |
(317) 844-6269 | |
(317) 815-7567 |
Full Name | James E Wilson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 52 Years |
Location | 10610 N Pennsylvania St, 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 |
---|---|---|---|
1669517306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18001602 (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lanter Eyecare And Laser Surgery Pc | 7113906652 | 5 |
Provider Name | Lanter Eyecare And Laser Surgery Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194850057 PECOS PAC ID: 7113906652 Enrollment ID: O20040817000920 |
Mailing Address | Practice Location Address |
---|---|
James E Wilson, OD 10610 Pennsylvania Street, Suite B, Indianapolis, IN 46280 Ph: (317) 844-6269 | James E Wilson, OD 10610 N Pennsylvania St, Ste B, Indianapolis, IN 46280-2000 Ph: (317) 844-6269 |
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