Individual
DR. DOUGLAS J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 W GREEN MEADOWS DR, SUITE 108, GREENFIELD, IN 46140-3204
(317) 477-3937
(317) 477-3939
Mailing address
400 W GREEN MEADOWS DR, SUITE 108, GREENFIELD, IN 46140-3204
(317) 477-3937
(317) 477-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002895A/B
IN
152WC0802X
Corneal and Contact Management Optometrist
18002895A/B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176992
BCBS
IN
05
—
200280210A
—
IN
01
—
410043699
RAILROAD MEDICARE
IN
01
—
IN2895
EYEMED
IN
01
—
JARTL
EYEFINITY
IN
Enumeration date
07/15/2005
Last updated
12/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us