Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON PRESTON WILSON, O.D.
ActiveJON PRESTON WILSON, O.D. is a Optometrist healthcare provider located in ROOSEVELT, Utah. NPI 1760477731 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ROOSEVELT, UT
Registration Details
- NPI Number
- 1760477731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (20.92165618187 yrs)
- Last Updated
- Jun 18, 2008
- License
-
4944063-9934 (UT)
Practice Information
- Address
-
165 W 200 N71-7ROOSEVELT, UT, 840662834Browse UT providers · Browse ZIP 84066
- Phone
- 4357222981
- Fax
- 4357223732
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ROOSEVELT, UT
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT H KOWALLIS | O.D. | 1861487050 |
| JASON KOWALLIS | OD | 1942561311 |
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.