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NPI Code Detail

MEDICARE: WILKINSON EYE CENTER PC

MEDICARE: WILKINSON EYE CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10F37294OTHERMIBCBS OF MICHIGAN GPIN

General Provider Information

NPI Number : 1114962834
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILKINSON EYE CENTER PC
Provider Business Mailing Address
First Line : 44555 WOODWARD AVE
Second Line : STE 203
City : PONTIAC
State : MI
Zip : 48341-5033
Country : US
Telephone Number : 248-334-4931
Fax Number : 248-239-0492
Provider Business Practice Location Address
First Line : 44555 WOODWARD AVE
Second Line : STE 203
City : PONTIAC
State : MI
Zip : 48341-5033
Country : US
Telephone Number : 248-334-4931
Fax Number : 248-239-0492
Authorized Official
Title or Position : OWNER
Name : WILLIAM SCOTT WILKINSON
Credential : MD
Telephone Number : 248-334-4931
Provider Enumeration Date : 06/17/2006
Last Update Date : 05/23/2012

Similar Medicare Providers

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Practice Location Address:
44555 WOODWARD AVE STE 203
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48341-5033
Practice Phone: 248-334-4931
Practice Fax: 248-858-3993
1255333514 — AMY L SMITH MD
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1851336689 — SHERRY LYNN DUSTMAN O.D.
Practice Location Address:
44555 WOODWARD AVE STE 203
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Practice Fax: 248-239-0492
1124057690 — WILLIAM SCOTT WILKINSON M.D.
Practice Location Address:
44555 WOODWARD AVE , SUITE 203
PONTIAC, MI
48341-5033
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Practice Fax: 248-858-3993
1821001199 — DR. DEVON NICOLE ST LOUIS O.D.
Practice Location Address:
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1346808193 — JULIA BACHLER MD
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Practice Fax:

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