Jon Preston Wilson (NPI# 1760477731, PAC ID# 1658445929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760477731 |
| PAC ID by PECOS | 1658445929 |
| Professional Enrollment ID | I20080805000072 |
| Full Name | Jon Preston Wilson |
| Organization Legal Name | ROOSEVELT VISION CLINIC PC |
| Address |
165 W 200 Roosevelt UT 84066-2834 |
| Phone Number | 4357222981 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9830269844 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 165 W 200, Roosevelt, UT 84066-2834 | 4357222981 | ROOSEVELT VISION CLINIC PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ROOSEVELT VISION CLINIC PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Norman Kowallis | Optometry | Roosevelt Vision Clinic PC | 165 W 200, Roosevelt, UT 84066-2834 |
| Cade John Kowallis | Optometry | Roosevelt Vision Clinic PC | 165 W 200, Roosevelt, UT 84066-2834 |
| Scott H Kowallis | Optometry | Roosevelt Vision Clinic PC | 165 W 200, Roosevelt, UT 84066-2834 |
| Street Address |
165 W 200 |
| City | ROOSEVELT |
| State | UT |
| Zip | 84066-2834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Norman Kowallis | Optometry | Roosevelt Vision Clinic PC | 165 W 200, Roosevelt, UT 84066-2834 |
| Cade John Kowallis | Optometry | Roosevelt Vision Clinic PC | 165 W 200, Roosevelt, UT 84066-2834 |
| Scott H Kowallis | Optometry | Roosevelt Vision Clinic PC | 165 W 200, Roosevelt, UT 84066-2834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Michael Birkin | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Peter L Tanner | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Audrie Wisell | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Jeffrey Mcclellan | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Amos Reid Burgess | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Jacob Dunkley Brown | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kristopher S Riser | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Manpreet Kaur | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Dennis K Heaston | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Darwin Mckee | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Find all physicians in zip 84066 | |||
| City | ROOSEVELT |
| Zip Code | 84066 |
| Specialty | OPTOMETRY |
| City + Specialty | ROOSEVELT + OPTOMETRY |
Please comment or provide details below to improve the information on Jon Preston Wilson.
| 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.