JOHN ROBERT WILLCOCKSON M.D. NPI 1750384715

NPI Information

NPI: 1750384715
Provider Name: JOHN ROBERT WILLCOCKSON, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
35025 N. EL SENDERO RD
CAVE CREEK, AZ
ZIP 85331
Phone: (605) 661-8495
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John Robert Willcockson, M.D. is an ophthalmology in Cave Creek, AZ. 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. John Robert Willcockson, M.D. NPI is 1750384715. 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:

35025 N. EL SENDERO RD
CAVE CREEK, AZ
ZIP 85331
Phone: (605) 661-8495
Fax: (605) 665-0526

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/1/2019.

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
1	207W00000X	Ophthalmology		17563	NEBRASKA	No
2	207W00000X	Ophthalmology		0840	SOUTH DAKOTA	Yes

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
1	36-3050195-18	MEDICAID	NEBRASKA
2	6300040	MEDICAID	SOUTH DAKOTA
3	840	OTHER	SOUTH DAKOTA	DAKOTACARE PROVIDER ID
4	0001010	OTHER	SOUTH DAKOTA	SD WELLMARK BLUE SHIELD I
5	22051	OTHER	NEBRASKA	NE BLUE SHIELD ID
6	36-3050195-12	MEDICAID	NEBRASKA
7	36-305015-14	MEDICAID	NEBRASKA

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: 11/14/2023

NPI Synchronization or Removal

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