Michael Wilson (NPI# 1427073121, PAC ID# 7214041250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1427073121 |
| PAC ID by PECOS | 7214041250 |
| Professional Enrollment ID | I20120105000343 |
| Full Name | Michael Wilson |
| Organization Legal Name | CAUDELLE AND WILSON EYE CARE LLC |
| Address |
320 N Jeff Davis Dr Suite A Fayetteville GA 30214-1669 |
| Phone Number | 7704612144 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6406157841 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 320 N Jeff Davis Dr, Suite A, Fayetteville, GA 30214-1669 | 7704612144 | CAUDELLE AND WILSON EYE CARE LLC |
| Organization Legal Name | CAUDELLE AND WILSON EYE CARE LLC |
| Physicians | 1 |
| Street Address |
320 N JEFF DAVIS DR SUITE A |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-1669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Caudelle | Optometry | 320 N Jeff Davis Dr, Suite A, Fayetteville, GA 30214-1669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | OPTOMETRY |
| City + Specialty | FAYETTEVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Michael 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.