DR. ROBIN LYNN WILSON (NPI# 1912993544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912993544 |
| Entity Type | Individual |
| Full Name | DR. ROBIN LYNN WILSON |
| Credential | O.D. |
| Practice Address |
4620 N University St Peoria IL 61614-5889 |
| Mailing Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Practice Telephone | 3096928222 |
| Practice Fax Number | 3096928226 |
| Mailing Telephone | 3096939540 |
| Mailing Fax Number | 3096939754 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-02-16 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046007848 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1487113742 | Robin Garrick Wilson | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Boston, Ma 02128, Precepting Room, Boston, MA 02118-2526 | 2019-03-17 |
| 1255738407 | Robin Wilson | Pharmacist | 27609 Nugget Dr, Apartment #4, Canyon Country, CA 91387-5831 | 2014-12-02 |
| 1205114386 | Robin Wilson | Occupational Therapist | 457 Walnut Ave, Fremont, CA 94536-4364 | 2011-07-24 |
| 1093985855 | Robin Angela Wilson | Social Worker | 170 High School Rd, Vanceboro, NC 28586-8626 | 2008-03-07 |
| 1437190683 | Robin A. Wilson | Internal Medicine | 205 North Maple Street, Suite 8, Simpsonville, SC 29681 | 2006-06-09 |
| 1316930845 | Robin S Wilson | Ophthalmology | 17280 W North Avenue, Suite 100, Brookfield, WI 53045 | 2005-08-30 |
| 1437756392 | Robin Mcneil Wilson | Behavior Technician | 496 Old Route 66, Saint Robert, MO 65584-3728 | 2020-10-05 |
| 1447857628 | Robin R Wilson | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-10-01 |
| 1427608652 | Robin Wilson | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-19 |
| Street Address |
4620 N UNIVERSITY ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173321 | Jak Enterprises Inc | Optometrist | 4620 N University St, Peoria, IL 61614-5889 | 2006-05-20 |
| 1639166226 | Kenneth A Schaidle | Optometrist | 4620 N University St, Peoria, IL 61614-5889 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| 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 |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1487175741 | Mark William Wellman | Optometrist | 18431 N 91st Ave Ste 1, Peoria, AZ 85382-0817 | 2017-06-27 |
| 1255674313 | John M. Rinehart, O.d., P.C. | Optometrist | 13260 N 94th Dr Ste 420, Peoria, AZ 85381-4241 | 2013-03-27 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1912212960 | Macarius, Max & Daniel, LLC | Optometrist | 2415 W Glen Ave, Peoria, IL 61614-4533 | 2010-08-15 |
| 1922242379 | John P Gysin Od | Optometrist | 5901 N Prospect Rd Ste 11, Peoria, IL 61614-4337 | 2009-04-29 |
| 1912169962 | Timothy G. Cundiff | Optometrist | 4900 N Glen Park Place Rd Ste C, Peoria, IL 61614-4685 | 2008-07-01 |
| 1396883401 | Eye Boutique Inc | Optometrist | 2524 W Farrelly Ave, Peoria, IL 61615-3650 | 2007-02-01 |
| 1316098791 | Jackson Romaine Bennett Jr. | Optometrist | 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570 | 2007-01-14 |
| 1487713160 | Christopher James Parot | Optometrist | 15256 N.75th Ave., Suite 380, Peoria, AZ 85381 | 2006-12-08 |
| Find all providers in PEORIA | ||||
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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.