JEFFREY F WILSON (NPI# 1184727612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184727612 |
| Entity Type | Individual |
| Full Name | JEFFREY F WILSON |
| Credential | OD PC |
| Practice Address |
126 W Wheatland Ave Remus MI 49340 |
| Mailing Address |
126 W Wheatland Ave P O Box 321 Remus MI 49340-0321 |
| Practice Telephone | 9899678668 |
| Practice Fax Number | 9899673032 |
| Mailing Telephone | 9899678668 |
| Mailing Fax Number | 9899673032 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003093 | MI | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4901003093 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4373941 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505274 | Jeffrey L Wilson | Counselor | 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 | 2017-08-25 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1801185814 | Jeffrey Matthew Wilson | Registered Nurse | 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 | 2011-03-30 |
| 1447425798 | Jeffrey Joseph Wilson | Dentist | 1542 Union St, Schenectady, NY 12309 | 2008-04-28 |
| 1184701658 | Jeffrey M Wilson | Dentist | 73 Greentree Dr # 407, Dover, DE 19904-7646 | 2006-11-01 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1417065715 | Jeffrey Whiteside Wilson | Psychiatry & Neurology | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-08-27 |
| 1972522068 | Jeffrey S Wilson | Podiatrist | 381 Cline Ave, Mansfield, OH 44907 | 2006-07-19 |
| Street Address |
126 W WHEATLAND AVE |
| City | REMUS |
| State | MI |
| Zip Code | 49340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295039097 | Jeffrey F Wilson Od PC | Optometrist | 126 W Wheatland Ave, Remus, MI 49340-5115 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659595965 | Medics P.C. | Clinic/Center | 209 W Wheatland, Remus, MI 49340-0315 | 2007-04-11 |
| 1518958792 | Clinical Hospital Pharmacy Management, P.C. | Pharmacy | 144 W Wheatland Ave, Remus, MI 49340-5115 | 2005-11-04 |
| 1528578937 | Shelby Kay Fox | Technician, Other | 3508 S Wyman Rd, Remus, MI 49340-9603 | 2017-10-11 |
| 1588816441 | Margaret's Meadows, LLC | Clinic/Center | 5257 S Coldwater Rd, Remus, MI 49340-9628 | 2008-10-22 |
| 1720405137 | Samantha Jo Beutler | Chiropractor | 420 W Wheatland Ave, Remus, MI 49340-9761 | 2014-03-24 |
| 1679135503 | Live Well Chiropractic & Rehab | Chiropractor | 420 W Wheatland Ave, Remus, MI 49340-9761 | 2019-07-01 |
| 1396212031 | Summer Lynne Sellers | Massage Therapist | 420 W Wheatland Ave, Remus, MI 49340-9761 | 2018-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333263 | Sisters of Sobriety | Exclusive Provider Organization | 5398 Pierce Rd, Remus, MI 49430 | 2017-05-17 |
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295039097 | Jeffrey F Wilson Od PC | Optometrist | 126 W Wheatland Ave, Remus, MI 49340-5115 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.