Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL KENTON WILSON, OD
ActiveOptometrist · NASHVILLE, IL
Registration Details
- NPI Number
- 1083140966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (8.9728578408211 yrs)
- Last Updated
- Jul 21, 2022
- License
-
046011126 (IL)
Practice Information
- Address
-
250 E ELM STNASHVILLE, IL, 622631710Browse IL providers · Browse ZIP 62263
- Phone
- 6183273231
- Fax
- 6183278748
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in NASHVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOSHUA DAVID WILSON | O.D. | 1093740821 |
| DR. RACHEL MARGARET FOSTER | O.D. | 1235493198 |
| SABRINA ANN SCHACK | OD | 1548001704 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.