Jon Preston Wilson, O.D.

NPI #1760477731 in Roosevelt, Utah

Provider Information

NPI Number: 1760477731
Entity Type: Individual
Name: Jon Preston Wilson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 15, 2005
Last Updated: Jun 18, 2008

Practice Location

Address: 165 W 200 N
Address 2: 71-7
City: Roosevelt
State: Utah
ZIP Code: 84066-2834
Phone: (435) 722-2981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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