JON WILSON, O.D.

Optometrist

Active Individual
NPI: 1760477731

Practice Address

165 W 200 N
71-7
Roosevelt, UT 84066

Phone: (435) 722-2981

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 4944063-9934 (UT)

Frequently Asked Questions

NPI 1760477731 is the National Provider Identifier for JON WILSON, O.D., a Optometrist provider located in Roosevelt, UT. This NPI was enumerated on September 15, 2005.
JON WILSON, O.D. practices at 165 W 200 N, 71-7, Roosevelt, UT 84066.

Quick Facts

NPI
1760477731
Type
Individual
Enumerated
Sep 15, 2005
Last Updated
Jun 18, 2008

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