MEDICARE: ADDISON P WILSON AU.D.

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
1	231H00000X	Audiologist	6597	OK

General Provider Information

NPI Number	:	1770221079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADDISON P WILSON AU.D.

Provider Business Mailing Address
First Line	:	2405 S BRYANT AVE STE 100
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-6169
Country	:	US
Telephone Number	:	405-340-9191
Fax Number	:	405-340-9185

Provider Business Practice Location Address
First Line	:	2405 S BRYANT AVE STE 100
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-6169
Country	:	US
Telephone Number	:	405-340-9191
Fax Number	:	405-340-9185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	02/17/2026

Similar Medicare Providers

1932721917 — DANIELLE KNIGHT AUD
Practice Location Address:

2405 S BRYANT AVE STE 100
EDMOND, OK
73013-6169

Practice Phone: 405-340-9191
Practice Fax:

1427165075 — BONNIE CHADWICK BALLANTINE LCSW
Practice Location Address:

1104 CHARLTON RD
EDMOND, OK
73003-6169

Practice Phone: 405-341-4496
Practice Fax:

1700717386 — ALENA DIXON
Practice Location Address:

15325 FAIRVIEW FARM RD
EDMOND, OK
73013-1330

Practice Phone: 405-208-9022
Practice Fax:

1053080705 — CANDACE TELFORD
Practice Location Address:

1900 E 15TH ST STE B
EDMOND, OK
73013-6610

Practice Phone: 405-548-1029
Practice Fax:

1730010224 — MRS. DALIA NOHELY ORTIZ
Practice Location Address:

416 W 15TH ST
EDMOND, OK
73013-3747

Practice Phone: 405-562-6072
Practice Fax:

1699606574 — PAUL ADRIAN CRAWFORD JR.
Practice Location Address:

14025 N EASTERN AVE APT 1512
EDMOND, OK
73013-5759

Practice Phone: 405-888-6751
Practice Fax:

Directions to “ ADDISON P WILSON AU.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.