Individual
RILEY JANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
707 W TIPTON ST, SEYMOUR, IN 47274-2157
(812) 524-3937
Mailing address
837 S POPLAR ST, BROWNSTOWN, IN 47220-1900
(812) 569-3149
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004406A
IN
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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