Organization
ADVANCED EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C WILSON OD (OWNER)
(816) 353-1872
Entity
Organization
Contact information
Practice address
6708 RAYTOWN RD, RAYTOWN, MO 64133-5272
(816) 353-1872
(816) 353-5022
Mailing address
6708 RAYTOWN RD, RAYTOWN, MO 64133-5272
(816) 353-1872
(816) 353-5022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185130001
DMERC
—
01
—
DG 2866
RAILROAD MEDICARE
—
Enumeration date
05/31/2006
Last updated
04/15/2019
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.
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