Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN J WILSON, O.D.
ActiveDR. RYAN J WILSON, O.D. is a Optometrist healthcare provider located in GENESEO, Illinois. NPI 1407832454 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GENESEO, IL
Registration Details
- NPI Number
- 1407832454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2005 (20.686082196249 yrs)
- Last Updated
- Feb 16, 2024
- License
-
046009598 (IL)
Practice Information
- Address
-
112 S CENTER STGENESEO, IL, 612541338Browse IL providers · Browse ZIP 61254
- Phone
- 3099445303
- Fax
- 3099443465
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GENESEO, IL
| Name | Credential | NPI |
|---|---|---|
| WILLIAM A BORDWELL | O.D. | 1841232899 |
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.