DR. MICHAEL KENTON WILSON (NPI# 1083140966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083140966 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KENTON WILSON |
| Credential | OD |
| Practice Address |
250 E Elm St Nashville IL 62263-1710 |
| Practice Telephone | 6183273231 |
| Practice Fax Number | 6183278748 |
| Mailing Telephone | (618) 327-3231 |
| Mailing Fax Number | 6183278748 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046011126 | IL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3540 N Belt W Ste C, Belleville, IL 622265975 | 6182354433 | 6182357483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1891201604 | Michael Paul Wilson | Technician/Technologist | 324 Garden Rd, Springfield, PA 19064-3505 | 2017-12-18 |
| 1659897536 | Michael Wilson | Driver | 1628 Bucktown Dr, Danville, VA 24543 | 2017-08-22 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1164895728 | Michael Wilson | Counselor | 3027 Pleasant Grv, Bossier City, LA 71111-5758 | 2015-11-04 |
| 1013384379 | Michael Wilson | Counselor | 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 | 2015-08-21 |
| 1467828350 | Michael Wilson | Social Worker | 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 | 2015-08-14 |
| 1356723803 | Michael Wilson II | Home Health Aide | 348 Wilson Ave, Port Clinton, OH 43452-1740 | 2015-06-22 |
| 1467641399 | Michael C. Wilson | Developmental Therapist | 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 | 2007-10-16 |
| Street Address |
250 E ELM ST |
| City | NASHVILLE |
| State | IL |
| Zip Code | 62263-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093740821 | Joshua David Wilson | Optometrist | 250 E Elm St, Nashville, IL 62263-1710 | 2006-07-11 |
| 1801168893 | Advanced Vision Care LLC | Optometrist | 250 E Elm St, Nashville, IL 62263-1710 | 2012-02-06 |
| 1225227135 | Michael E Gewe Od PC | Optometrist | 250 E Elm St, Nashville, IL 62263-1710 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518407998 | Betty Lou Birchett | Licensed Practical Nurse | 18429 Conservation Drive, Nashville, IL 62263 | 2017-03-03 |
| 1366740219 | Pamela S Lowry | Nurse Practitioner | 705 S. Grand Ave, Nashville, IL 62263 | 2011-03-02 |
| 1639364490 | Donna Trang Nguyen | Dentist | 520 East St Louis Street, Nashville, IL 62263 | 2007-09-13 |
| 1841297413 | Hyet Leslie Settlemoir | Internal Medicine | 705 S Grand St, Nashville, IL 62263 | 2005-06-28 |
| 1114205770 | Jennifer L Pennington | Physical Therapist | 3 Windswept Dr, Nashville, IL 62263 | 2011-08-01 |
| 1144296195 | Rodney Alan Small | Chiropractor | 1527 South Mill Street, Nashville, IL 62263-0027 | 2006-02-28 |
| 1891823662 | Washington County Vocational Workshop | Community/Behavioral Health | 781 E. Holzhauer Dr., Nashville, IL 62263-0273 | 2007-03-01 |
| 1457575243 | Developmental Management, Inc. | Nursing Facility/Intermediate Care Facility | 618 W Goodner St, Nashville, IL 62263-1009 | 2007-04-12 |
| 1144629718 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 618 W Goodner St, Nashville, IL 62263-1009 | 2014-08-19 |
| 1780734293 | County of Washington | Ambulance | 160 N West Court St, Nashville, IL 62263-1128 | 2007-01-10 |
| Find all providers in zip 62263 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272502 | Hayden Matz | Optometrist | 2817 W End Ave Ste 117, Nashville, TN 37203-1481 | 2020-10-13 |
| 1962029280 | Elise Lou Svennevik | Optometrist | 5554 Franklin Pike Ste 100, Nashville, TN 37220-2131 | 2020-07-02 |
| 1942832423 | Myeyedr Optometry of Tennesse, LLC | Optometrist | 7091 Old Harding Pike Ste 105, Nashville, TN 37221-2827 | 2020-02-12 |
| 1457983892 | Rosin Eyecare P.C. | Optometrist | 4205 Hillsboro Pike Ste 204, Nashville, TN 37215-3387 | 2020-02-04 |
| 1740763325 | Jessup Mobile Opt Tn LLC | Optometrist | 6617 Valleypark Dr, Nashville, TN 37221-6542 | 2018-09-11 |
| 1376035576 | Monique A Smyth | Optometrist | 2204 Crestmoor Rd, Nashville, TN 37215-2002 | 2018-06-04 |
| 1518467778 | K&m Optical | Optometrist | 73 White Bridge Rd Ste 105, Nashville, TN 37205-1444 | 2018-02-14 |
| 1669980108 | Resolution Eye Care,llc | Optometrist | 960 Woodland St, Nashville, TN 37206-3722 | 2018-01-18 |
| 1760995278 | Yunho Kim | Optometrist | 3904 Hillsboro Pike # C, Nashville, TN 37215-2740 | 2017-11-07 |
| 1740726603 | Green Hills Eyecare, Pllc | Optometrist | 4301 Hillsboro Rd, Suite 330, Nashville, TN 37215-3345 | 2017-01-16 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.