Douglas M. Wilson, O.d., P.c.

NPI #1639390552 in Rutland, Vermont

Provider Information

NPI Number: 1639390552
Entity Type: Organization
Organization Name: Douglas M. Wilson, O.d., P.c.
Primary Specialty: Optometrist
Enumeration Date: May 1, 2007
Last Updated: Apr 23, 2008

Practice Location

Address: 71 ALLEN ST STE 201
City: Rutland
State: Vermont
ZIP Code: 05701-4570
Phone: (802) 775-9355

Authorized Official

Name: DOUGLAS M WILSON, O.D.
Title: PRESIDENT
Phone: (802) 775-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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