Individual
JAMES E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10610 N PENNSYLVANIA ST, STE B, INDIANAPOLIS, IN 46280-2000
(317) 844-6269
(317) 815-7567
Mailing address
10610 PENNSYLVANIA STREET, SUITE B, INDIANAPOLIS, IN 46280
(317) 844-6269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001602
IN
Other
Enumeration date
02/20/2007
Last updated
10/04/2011
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