Individual
DR. ANDREW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4000 CALLE TECATE, #100, CAMARILLO, CA 93012-5282
(805) 482-1136
(805) 388-8499
Mailing address
4000 CALLE TECATE, SUITE 100, CAMARILLO, CA 93012-5282
(805) 482-1136
(805) 388-8499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14926
CA
Other
Enumeration date
06/10/2014
Last updated
10/30/2014
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