| Doctor Name: | DR. PETER EDWARD WILCOX |
| NPI Number: | 1265435283 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | 0618000147 |
| Business Practice Address: | 2652 George Washington Memorial Hwy Ste 1 Hayes, VA - 230723464 |
| Business Phone Number: | 8046429800 |
| Business Fax Number: | 8046420334 |
| Mailing Address: | 2652 George Washington Memorial Hwy, Ste 1 HAYES |
| State: | VA |
| Postal Code: | 230723464 |
| Phone Number: | 8046429800 |
| Fax Number: | 8046240334 |
| NPI Enumeration Date: | 05/23/2005 |
| NPI Last Update Date: | 08/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/16/2006 |
| NPI Reactivation Date: | 03/20/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 0618000147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| 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 |