Nancy L Wilson (NPI# 1316018955, PAC ID# 0749361798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1316018955 |
| PAC ID by PECOS | 0749361798 |
| Professional Enrollment ID | I20111109000388 |
| Full Name | Nancy L Wilson |
| Organization Legal Name | CHRISTOPHER P. LIKENS AND NANCY L. WILSON PTR |
| Address |
4505 Barranca Pkwy C Irvine CA 92604-4797 |
| Phone Number | 9498570676 |
| Gender | F |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1984 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2860592391 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4505 Barranca Pkwy, Irvine, CA 92604-4797 | 9498570676 | WOODBRIDGE OPTOMETRY INC |
| 4505 Barranca Pkwy, Suite C, Irvine, CA 92604-4797 | 9498570676 | WOODBRIDGE OPTOMETRY INC |
| 4505 Barranca Pkwy C, Irvine, CA 92604-4797 | 9498570676 | CHRISTOPHER P. LIKENS AND NANCY L. WILSON PTR |
| Organization Legal Name | CHRISTOPHER P. LIKENS AND NANCY L. WILSON PTR |
| Physicians | 1 |
| Street Address |
4505 BARRANCA PKWY C |
| City | IRVINE |
| State | CA |
| Zip | 92604-4797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Lee | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 14330 Culver Dr, Irvine, CA 92604-0303 |
| Steve S Kim | Chiropractic | 14210 Culver Dr, Suite E, Irvine, CA 92604-0310 | |
| Virgil D Holland Jr. | Optometry | 14210 Culver Dr, F, Irvine, CA 92604-0313 | |
| Laszlo Kaveggia | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Duke Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Afshin Karimi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Mark S Vanhouten | Neurology | 14150 Culver Dr, Irvine, CA 92604-0315 | |
| Maryam Rahnemun | Family Medicine | 14150 Culver Dr, Suite 105, Irvine, CA 92604-0322 | |
| Melissa Walls | Physical Therapy | Envision Sport Physical Therapy and Pilates | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0322 |
| Antoine Mourra | Family Medicine | Irvine Family Practice Medical | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0322 |
| Find all physicians in zip 92604 | |||
| City | IRVINE |
| Zip Code | 92604 |
| Specialty | OPTOMETRY |
| City + Specialty | IRVINE + OPTOMETRY |
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| 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.