Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB WILSON, OD
Active Sole ProprietorJACOB WILSON, OD is a Optometrist healthcare provider located in TUBA CITY, Arizona. NPI 1740974088 is currently active in the NPPES registry. Verify at CMS.
Optometrist · TUBA CITY, AZ
Registration Details
- NPI Number
- 1740974088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2023 (3.1844831547083 yrs)
- Last Updated
- Jun 8, 2023
- License
-
733279 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2033-1 N SPRUCETUBA CITY, AZ, 86045Browse AZ providers · Browse ZIP 86045
- Phone
- 6025762812
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in TUBA CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| GAY E NORD | OD | 1144263815 |
| LAWRENCE E RICHARDSON | O.D. | 1659314359 |
| NANCY A NICHOLS | OD | 1801839584 |
| RONDA L OLSON | OD | 1568405264 |
| BREANNE MICHELLE FLORES | O.D. | 1548692486 |
| PATRICIA M MCCULLOUGH | OD | 1689348054 |
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.