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CARMEN J WILSON MD PC NPI 1053513911


NPI Information

NPI: 1053513911
Provider Name: CARMEN J WILSON MD PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1760 CANDLER RD
SUITE D
DECATUR, GA
ZIP 30032
Phone: (678) 914-4733
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CARMEN J WILSON MD PC is an ophthalmology in Decatur, GA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CARMEN J WILSON MD PC NPI is 1053513911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1760 CANDLER RD
SUITE D
DECATUR, GA
ZIP 30032-254
Phone: (678) 914-4733
Fax: (404) 286-2020

The provider's authorized official is Carmen J Wilson .
The authorized official title is Owner and has the following contact phone number (866) 779-3937.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 2/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology044609GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000791249CMEDICAIDGEORGIA
2290982OTHERGEORGIAWELL CARE
3G55002MEDICARE UPIN
4188DGMXOTHERGEORGIAMEDICARE PTAN
510064121OTHERGEORGIAAMERIGROUP
618BDGMXMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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