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DR. MARK DENNIS WILSON O.D. NPI 1932195450


NPI Information

NPI: 1932195450
Provider Name: DR. MARK DENNIS WILSON, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
314 W SAVIDGE ST
SPRING LAKE, MI
ZIP 49456
Phone: (616) 844-7000
Get Directions

DR. Mark Dennis Wilson, O.D. is an optometrist in Spring Lake, MI. The provider is 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. DR. Mark Dennis Wilson, O.D. NPI is 1932195450. 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:

314 W SAVIDGE ST
SPRING LAKE, MI
ZIP 49456-607
Phone: (616) 844-7000
Fax: (616) 844-7444

The enumeration date for this NPI number is 9/20/2005 and was last updated on 12/10/2015.


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
1152W00000XOptometrist4901003705MICHIGANYes

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
1900F111210OTHERMICHIGANBCBS OF MICHIGAN
2N96840009MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
35189400001MEDICARE NSCMICHIGAN
4P00196113MEDICARE PINMICHIGAN
5900E310260OTHERMICHIGANBCBS OF MICHIGAN
6DC1560MEDICARE PINMICHIGAN
70P32620MEDICARE PINMICHIGAN
80N96840MEDICARE PINMICHIGAN
9P21400008MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
100P13290MEDICARE PINMICHIGAN
11383521610OTHERMICHIGANTAX ID
12U54539MEDICARE UPINMICHIGAN
135472600010MEDICARE NSCMICHIGAN
14N96840009MEDICARE PINMICHIGAN
15900F210170OTHERMICHIGANBCBS OF MICHIGAN
16204829649OTHERMICHIGANTAX ID
17ON88020MEDICARE PIN
185375940002MEDICARE PINMICHIGAN
19201249427OTHERMICHIGANTAX ID
20383628290OTHERMICHIGANTAX ID
21P13290002MEDICARE PINMICHIGAN
22(94)4830440MEDICAIDMICHIGAN

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: 5/5/2024

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