Stacey L Wilda (NPI# 1578555447, PAC ID# 0749232080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1578555447 |
| PAC ID by PECOS | 0749232080 |
| Professional Enrollment ID | I20050505000146 |
| Full Name | Stacey L Wilda |
| Organization Legal Name | STACEY L. WILDA, O.D., P.C. |
| Address |
415 N 7th St Perry OK 73077-6407 |
| Phone Number | 5803360777 |
| Gender | F |
| Credential | OD |
| Graduation Year | 1997 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0941240345 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 415 N 7th St, Perry, OK 73077-6407 | 5803360777 | STACEY L. WILDA, O.D., P.C. |
| Organization Legal Name | STACEY L. WILDA, O.D., P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elise Renee Bolay | Optometry | Stacey L. Wilda, O.d., P.C. | 415 N 7th St, Perry, OK 73077-6407 |
| Street Address |
415 N 7TH ST |
| City | PERRY |
| State | OK |
| Zip | 73077-6407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elise Renee Bolay | Optometry | Stacey L. Wilda, O.d., P.C. | 415 N 7th St, Perry, OK 73077-6407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory John Lewis | Family Medicine | Emergency Staffing Solutions of Perry LLC | 501 N 14th St, Perry, OK 73077-5021 |
| Charles M Ogle | Emergency Medicine | Perry Memorial Hospital Authority | 503 N 14th St, Perry, OK 73077-5021 |
| Julian D Cecil | Family Medicine | Stillwater Medical Center Authority | 501 N 14th St, Perry Specialty Clinic, Perry, OK 73077-5021 |
| James Knecht | Family Medicine | Emergency Staffing Solutions of Perry LLC | 501 N 14th St, Perry, OK 73077-5021 |
| Jamie Knecht | Emergency Medicine | Emergency Staffing Solutions of Perry LLC | 501 N 14th St, Perry, OK 73077-5021 |
| Justin R Bryant | General Surgery | Emergency Staffing Solutions of Perry LLC | 501 N 14th St, Perry, OK 73077-5021 |
| Michael Dean Hartwig | Family Medicine | Stillwater Medical Center Authority | 501 N 14th St, Perry Specialty Clinic, Perry, OK 73077-5021 |
| Robyn D Mangum | Physician Assistant | Stillwater Medical Center Authority | 501 N 14th St, Perry Specialty Clinic, Perry, OK 73077-5021 |
| Richard Harper | Family Medicine | Emergency Staffing Solutions of Perry LLC | 501 N 14th St, Perry, OK 73077-5021 |
| Julie H Dudley | Family Medicine | Emergency Staffing Solutions of Perry LLC | 501 N 14th St, Perry, OK 73077-5021 |
| Find all physicians in zip 73077 | |||
| City | PERRY |
| Zip Code | 73077 |
| Specialty | OPTOMETRY |
| City + Specialty | PERRY + OPTOMETRY |
Please comment or provide details below to improve the information on Stacey L Wilda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.