Jon R Wilzonski, OD | |
1235 Water Tower Pl, Arnold, MO 63010-2142 | |
(636) 296-8612 | |
(636) 296-8055 |
Full Name | Jon R Wilzonski |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 5 Years |
Location | 1235 Water Tower Pl, Arnold, Missouri |
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 |
---|---|---|---|
1063074540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2019021299 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diane G. Wilson, Od And Associates, Pc | 6608949425 | 4 |
Provider Name | Diane G. Wilson, Od & Associates, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770619637 PECOS PAC ID: 6608949425 Enrollment ID: O20080725000679 |
Mailing Address | Practice Location Address |
---|---|
Jon R Wilzonski, OD 1235 Water Tower Pl, Arnold, MO 63010-2142 Ph: (636) 296-8612 | Jon R Wilzonski, OD 1235 Water Tower Pl, Arnold, MO 63010-2142 Ph: (636) 296-8612 |
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