Organization
WILSON POLITO PLLC
Active
Other names
Wilson Polito Inc, Alpine Vision Center, Alpine Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN MICHAEL WILSON OD (PRESIDENT)
(208) 743-5830
Entity
Organization
Contact information
Practice address
1844 W PULLMAN RD, MOSCOW, ID 83843-4014
(208) 883-1800
(208) 883-1811
Mailing address
1844 W PULLMAN RD, MOSCOW, ID 83843-4014
(208) 883-1800
(208) 883-1811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 100-222
ID
Other
Enumeration date
01/09/2017
Last updated
06/03/2021
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