DR. DAVID RUSSELL WILSON OD NPI 1407931629

NPI Information

  • NPI: 1407931629
  • Provider Name: DR. DAVID RUSSELL WILSON, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 650 E HIGH ST
    STE 652
    CARLISLE, PA
    ZIP 17013
  • Phone: (717) 258-4422

Map and Directions

Get Directions

NPI Details

DR. David Russell Wilson, OD is an optometrist in Carlisle, PA with 22 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. David Russell Wilson, OD NPI is 1407931629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

650 E HIGH ST
STE 652
CARLISLE, PA
ZIP 17013
Phone: (717) 258-4422
Fax: (717) 258-4245

The NPI 1407931629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/26/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristTA1894MARYLANDNo
2152W00000XOptometrist0618001399VIRGINIANo
3152W00000XOptometristOEG001476PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1083513P3EMEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2V00737MEDICARE UPIN
3WI1634058OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
464392302OTHERMARYLANDCAREFIRST BLUE CROSS BLUE
51011408310002MEDICAIDPENNSYLVANIA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI