WILSON KO


Address: 13625 Maple Ave, Suite 202, Flushing, NY 11355-3870
Phone: 7183585900

WILSON KO (NPI# 1770560096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770560096
Entity Type Individual
Full Name WILSON KO
Credential M.D.
Practice Address 13625 Maple Ave
Suite 202
Flushing
NY 11355-3870
Practice Telephone 7183585900
Practice Fax Number 7184638049
Mailing Telephone 7183585900
Mailing Fax Number 7184638049
Enumeration Date 2005-12-28
Last Update Date 2011-09-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 158635 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY BLUE CROSS AND BLUE SHILED 20E801 01
NY OXFORD NS2922 01
NY ELDER PLAN 160517 01
NY 01067050 05

Office Location

Street Address 13625 MAPLE AVE
SUITE 202
City FLUSHING
State NY
Zip Code 11355-3870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386940179 Kee Y. Shum, M.d., P.C. Internal Medicine 13625 Maple Ave, Suite 205, Flushing, NY 11355-3870 2011-01-27
1447577283 Kai-hui Carl Chang Dentist 13625 Maple Ave, Suite 208, Flushing, NY 11355-3870 2010-05-03
1700017266 Jeh-li Kao Dentist 13625 Maple Ave, Suite 203, Flushing, NY 11355-3870 2009-07-31
1730341462 Daniel Chi-chow Kuo Obstetrics & Gynecology 13625 Maple Ave, Suite 207, Flushing, NY 11355-3870 2008-06-25
1437365665 Wilson Ko, M.d., F.a.c.s., P.C. Clinic/Center 13625 Maple Ave, Suite 202, Flushing, NY 11355-3870 2007-05-15
1649496175 Hu Nam Nam Md Clinic/Center 13625 Maple Ave, Suite 201, Flushing, NY 11355-3870 2007-04-17
1386764793 Pofu Hsieh Dentist 13625 Maple Ave, Suite 203, Flushing, NY 11355-3870 2007-03-30
1871612044 Wisdom Medical P.C. Clinic/Center 13625 Maple Ave, Suite201, Flushing, NY 11355-3870 2007-03-28
1336232602 Yi-chuan Chang Dentist 13625 Maple Ave, Suite 208, Flushing, NY 11355-3870 2006-10-01
1265445894 Lisen Liu Internal Medicine 13625 Maple Ave, Suite 201,wisdom Medical PC, Flushing, NY 11355-3870 2006-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588281364 Antoinette Sanon Registered Nurse 42-49 Alban St, Flushing, NY 11355 2020-06-29
1336765353 Jayesh Nakum Physical Therapist 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 2020-06-25
1417582990 Royal Class Home Health Care Agency, Inc Home Health 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 2020-03-05
1356972673 Christine Samuel Nurse Practitioner Nyp Queens, 56-45 Main Street, Flushing, NY 11355 2020-01-27
1740842590 Ji Nu Lee Acupuncturist 138 49 Barclay Ave. 6a, Flushing, NY 11355 2019-07-02
1386203990 Paula Scharffenberg Registered Nurse 140-50 Poelar Ave, Queens, NM 11355 2019-06-07
1821655101 Erin Cisney Student in an Organized Health Care Education/Training Program 5654 Main St, Flushing, NY 11355 2019-05-22
1356810063 Sanjay Lodha Physician PC Internal Medicine 45 72 Parsons Lewis Blvd, Flushing, NY 11355 2018-11-26
1740756576 Allday Pharmacy Inc Pharmacy 4199 Main St, Suite 202a, Flushing, NY 11355 2018-10-19
1477035806 Xiaona Mo Acupuncturist 42-67 Saull St #b, Flushing, NY 11355 2018-09-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760850838 New York Eye & Laser, PC Ophthalmology 135-27 38th Street, Unit 398, Flushing, NY 11354 2015-09-08
1962746693 Ophthalmic Consultant, Pllc Ophthalmology 134-43 Maple Avenue, Suite 1c, Flushing, NY 11355 2012-11-19
1942599626 Xining He Ophthalmology 136-20 38th Ave Ste 7g, Flushing, NY 11354 2011-04-01
1306156518 Jerome D. Berman, M.d., P.C. Ophthalmology 188 04 Northern Blvd., Flushing, NY 11358 2010-10-21
1760633788 Leevision Ophthalmology Services Pllc Ophthalmology 142-18 38th Ave., Suite #1a, Flushing, NY 11354 2008-10-08
1619139664 Star Vision Optical Inc Ophthalmology 42-70 Kissena Blvd, Flushing, NY 11355 2008-07-01
1063679462 Suzanna Airiani Ophthalmology 18804 Northern Blvd, Fl. #1, Flushing, NY 11358-2811 2008-05-22
1962698662 Peter Condax Md PC Ophthalmology 170-17 Northern Blvd., Flushing, NY 11358 2007-09-18
1518157726 Advanced Eye Physician, Pllc Ophthalmology 4270 Kissena Blvd, Flushing, NY 11355-3213 2007-07-25
1386772531 Nancy I Fan-paul Ophthalmology 13640 39th Ave Ste 403, Flushing, NY 11354-5565 2007-03-01
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Competitor

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City FLUSHING
Zip Code 11355

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Dataset Information

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.

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