JESSICA WILSON (NPI# 1730787508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730787508 |
| Entity Type | Individual |
| Full Name | JESSICA WILSON |
| Credential | OD |
| Practice Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Practice Telephone | 2317399009 |
| Practice Fax Number | 2317330566 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901005489 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
1266 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403838 | Kenneth Alan Otto Jr. | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2005-11-09 |
| 1972808921 | Shoreline Optical, LLC | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2011-01-24 |
| 1033448394 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2009-12-16 |
| 1306066634 | Nathan Paul Reed | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2007-04-27 |
| 1679643670 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1306916317 | Shoreline Ophthalmology, PC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1114097359 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1174545487 | Joshua David Metzger | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-07-24 |
| 1861439416 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-06-01 |
| 1366420168 | Todd James Riker | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| 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 |
|---|---|---|---|---|
| 1326607177 | Rachel Anne Copley | Optometrist | 1930 E Apple Ave Ste E, Muskegon, MI 49442-4277 | 2019-06-06 |
| 1881090041 | Kentwood Family Eye Care | Optometrist | 2073 Dykstra Rd, Muskegon, MI 49445-1988 | 2014-11-14 |
| 1003053893 | Goodwill Optical Inc | Optometrist | 1934 E Sherman Blvd, Muskegon, MI 49444-1824 | 2009-01-15 |
| 1457541179 | Rx Optical Laboratories, Inc. | Optometrist | 1720 E Sternberg Rd, Suite 20, Muskegon, MI 49444-7762 | 2007-07-30 |
| 1639236466 | Rx Optical Laboratories, Inc | Optometrist | 2159 E Apple Ave, Muskegon, MI 49442-4366 | 2007-01-02 |
| 1720154818 | Gary C. Spencer | Optometrist | 3106 Glade St, Muskegon, MI 49444-2706 | 2006-11-28 |
| 1285712109 | Goodwill Optical Inc | Optometrist | 1974 E Sherman Blvd, Muskegon, MI 49444-1824 | 2006-11-01 |
| 1245315589 | Kent Vision Centers Inc | Optometrist | 896 Jefferson St, Muskegon, MI 49440-1250 | 2006-10-26 |
| 1417993098 | David M Gundersen | Optometrist | 442 W Western Ave, Muskegon, MI 49440 | 2006-06-21 |
| 1720077845 | Korinne Marie Swain | Optometrist | 1179 Whitehall Rd, Ste. B, Muskegon, MI 49445-2497 | 2005-10-20 |
| Find all providers in MUSKEGON | ||||
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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.