Individual
DR. CODY JOE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1406 HAILEY ST, SWEETWATER, TX 79556-2508
(325) 235-2624
(325) 235-8326
Mailing address
1406 HAILEY ST, SWEETWATER, TX 79556-2508
(325) 235-2624
(325) 235-8326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6473TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144963100
FIRST CARE
TX
01
—
81335Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/16/2005
Last updated
06/03/2008
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