Organization Name: | WILSON VISION ASSOCIATES PC |
NPI Number: | 1023406766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAURICE WILSON (DIRECTOR) |
Mailing Address: | 1409 N Loop 336 W Conroe |
State: | TX US |
Postal Code: | 773043503 |
Phone Number: | 9367882551 |
Fax Number: | 9367882552 |
NPI Enumeration Date: | 01/05/2015 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 3708TG |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |