Individual
RICHARD C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
KS 1674
KS
152W00000X
Optometrist
Primary
TO 3339
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312239309
—
MO
01
—
410037607
RAILROAD MEDICARE
—
01
—
KS 1674
LICENSE
KS
01
—
TO 3339
LICENSE
MO
Enumeration date
12/02/2005
Last updated
11/12/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up