RICHARD C WILSON (NPI# 1538143540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538143540 |
| Entity Type | Individual |
| Full Name | RICHARD C WILSON |
| Credential | OD |
| Practice Address |
6708 Raytown Rd Raytown MO 64133-5272 |
| Practice Telephone | 8163531872 |
| Practice Fax Number | 8163535022 |
| Mailing Telephone | 8163531872 |
| Mailing Fax Number | 8163535022 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2010-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | KS 1674 | KS | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | TO 3339 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 410037607 | 01 | |
| KS | LICENSE | KS 1674 | 01 |
| MO | 312239309 | 05 | |
| MO | LICENSE | TO 3339 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407158116 | Richard Chase Wilson | Internal Medicine | 1255 Clearview Circle, Allentown, PA 18103 | 2010-12-01 |
| 1902118409 | Richard Wilson | Counselor | 1421 Luisa St Ste C, Santa Fe, NM 87505-4073 | 2010-07-13 |
| 1316173768 | Richard Steven Wilson | Chiropractor | 2 Stony Hill Rd Ste 101, Bethel, CT 06801-1045 | 2009-05-29 |
| 1033358924 | Richard Robert Wilson | General Practice | 1276 Nursery Hill Ln, Arden Hills, MN 55112-5783 | 2009-02-17 |
| 1760633929 | Richard Allen Wilson | Dentist | 3828 W Davis St, Suite 310, Conroe, TX 77304-1815 | 2008-10-07 |
| 1649491937 | Richard S Wilson | Dentist | 6025 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-05-02 |
| 1104042761 | Richard Lyman Wilson | Dentist | 123 Weeminuche Ave, Ignacio, CO 81137 | 2007-04-18 |
| 1932228061 | Richard A Wilson | Dentist | 6007 Dempster St, Morton Grove, IL 60053-2943 | 2007-03-28 |
| 1568504447 | Richard Dale Wilson | Family Medicine | 306 Oakridge Rd, Cary, NC 27511-4542 | 2007-02-13 |
| 1225126691 | Richard Marsh Wilson | Psychologist | 554 Washington St, Suite 4, Wellesley, MA 02482-6408 | 2006-10-11 |
| Street Address |
6708 RAYTOWN RD |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-5272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991454 | Lawrence D Reed | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2005-11-30 |
| 1609305572 | Lauren Michelle Pachy | Optometrist | 6708 Raytown Rd, Raytown, MO 64133 | 2017-06-05 |
| 1396092961 | Melissa Marie Enevoldsen | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2012-08-13 |
| 1235427089 | Christine L Mitts | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2011-07-14 |
| 1083639157 | Dana Janel Krause | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2006-07-12 |
| 1679510655 | Advanced Eyecare PC | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2006-05-31 |
| 1124002134 | Charles A Banks | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| 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 |
|---|---|---|---|---|
| 1831326339 | Jeffrey Alan Harter | Optometrist | 6708 Raytown Road, Raytown, MO 64133-5272 | 2009-06-11 |
| 1013991454 | Lawrence D Reed | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2005-11-30 |
| 1306847991 | Steven L Padget | Optometrist | 9507 E 63rd St, Suite 101, Raytown, MO 64133-4949 | 2005-08-03 |
| 1609305572 | Lauren Michelle Pachy | Optometrist | 6708 Raytown Rd, Raytown, MO 64133 | 2017-06-05 |
| 1396092961 | Melissa Marie Enevoldsen | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2012-08-13 |
| 1235427089 | Christine L Mitts | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2011-07-14 |
| 1083639157 | Dana Janel Krause | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2006-07-12 |
| 1679510655 | Advanced Eyecare PC | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2006-05-31 |
| 1124002134 | Charles A Banks | Optometrist | 6708 Raytown Rd, Raytown, MO 64133-5272 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.