DOUGLAS MARK WILSON (NPI# 1235199126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235199126 |
| Entity Type | Individual |
| Full Name | DOUGLAS MARK WILSON |
| Credential | OD |
| Practice Address |
71 Allen St Ste 201 Rutland VT 05701 |
| Practice Telephone | 8027759355 |
| Practice Fax Number | 8027754577 |
| Mailing Telephone | 8027759355 |
| Mailing Fax Number | 8027754577 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0300000152 | VT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN0576 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730260969 | Douglas Smith Wilson | Chiropractor | 2615 S Miller St Ste 108, Santa Maria, CA 93455-1775 | 2006-10-17 |
| 1164533345 | Douglas W Wilson | Dentist | 100 River Place, Suite 110, Madison, WI 53716 | 2006-08-31 |
| 1285693572 | Douglas Richard Wilson | Family Medicine | 1141 Pear Tree Lane, Suite 100, Napa, CA 94558-6485 | 2006-03-23 |
| 1346235702 | Douglas C. Wilson | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2005-09-13 |
| 1235138876 | Douglas J Wilson | Optometrist | 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 | 2005-07-15 |
| 1407417538 | Douglas Van Wilson | Nurse Practitioner | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2019-06-28 |
| 1083101422 | Douglas Alan Wilson | Pharmacist | 1814 Spring Rd, Carlisle, PA 17013-1150 | 2018-04-20 |
| 1174833750 | Douglas Alan Wilson | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2010-10-15 |
| 1467658369 | Douglas Eugene Wilson | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2007-06-26 |
| 1679797260 | Douglas Glen Wilson | Emergency Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-04-13 |
| Street Address |
71 ALLEN ST STE 201 |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248299 | Obstetrics,gynecology,infertility P.C. | Obstetrics & Gynecology | 71 Allen St, Suite 402, Rutland, VT 05701-4570 | 2005-10-06 |
| 1063074821 | Allen Pond Dental | Dentist | 71 Allen St, Suite 301, Rutland, VT 05701-4544 | 2019-07-02 |
| 1740755495 | Paul Francis Obrien | Social Worker | 71 Allen St, Rutland, VT 05701-4570 | 2018-10-09 |
| 1992219471 | Lisa E Brown | Social Worker | 71 Allen St, Rutland, VT 05701-4570 | 2017-11-20 |
| 1437587268 | Michelle Ann Wade | Nurse Practitioner | 71 Allen St, Ste 403, Rutland, VT 05701-4570 | 2013-10-14 |
| 1083989289 | Charles Alexander Ullman | Dentist | 71 Allen St, Sutie 204, Rutland, VT 05701-4570 | 2012-03-21 |
| 1194960625 | Raymond J Cooley | Chiropractor | 71 Allen St, Suite 203, Rutland, VT 05701-4570 | 2008-12-12 |
| 1831382183 | Patrick J. Cooley, D.c., P.t., P.C. | Physical Therapist | 71 Allen St, Suite 203, Rutland, VT 05701-4570 | 2007-08-21 |
| 1558483321 | Southern Vermont Endontics, PC | Dentist | 71 Allen St, Suite 204, Rutland, VT 05701-4570 | 2007-04-04 |
| 1114010881 | David Benjamin Turner | Family Medicine | 71 Allen St, Suite 403, Rutland, VT 05701-4570 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| 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 |
|---|---|---|---|---|
| 1639390552 | Douglas M. Wilson, O.d., P.C. | Optometrist | 71 Allen St Ste 201, Rutland, VT 05701-4570 | 2007-05-01 |
| 1730277971 | John D Bell | Optometrist | 401 Diamond Run Mall, Lenscrafters, Rutland, VT 05701 | 2006-10-11 |
| 1245218916 | Scott F Webb | Optometrist | 198 N Main St, Rutland, VT 05701-3020 | 2006-01-04 |
| 1790325462 | Valley Optometry, Plc | Optometrist | 198 N Main St, Rutland, VT 05701-3020 | 2020-01-10 |
| 1275885501 | Leanna A Olennikov | Optometrist | 198 N Main St, Rutland, VT 05701-3020 | 2012-10-10 |
| 1720397805 | Christopher Allen Nisbet | Optometrist | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2010-10-06 |
| 1114099405 | Christina Huth Keshava | Optometrist | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2006-11-14 |
| 1639271141 | Dianna Helen Ausprunk | Optometrist | 73 Center St, Rutland, VT 05701-4046 | 2006-09-04 |
| 1477587939 | Leif Erickson, Od, LLC | Optometrist | 44 Washington St, Rutland, VT 05701-5031 | 2006-07-10 |
| 1285673095 | Robert Leif Erickson | Optometrist | 44 Washington St, Rutland, VT 05701-5031 | 2006-06-06 |
| Find all providers in RUTLAND | ||||
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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.