DR. Diane G Wilson, O.D.

NPI #1841236635 in Arnold, Missouri

Provider Information

NPI Number: 1841236635
Entity Type: Individual
Name: DR. Diane G Wilson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 21, 2006
Last Updated: Dec 22, 2008

Practice Location

Address: 1235 WATER TOWER PL
City: Arnold
State: Missouri
ZIP Code: 63010-2142
Phone: (636) 296-8612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist - Pediatrics — Pediatrics	152WP0200X

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