James P Wilson, OD

NPI #1952330425 in Peoria, Illinois

Provider Information

NPI Number: 1952330425
Entity Type: Individual
Name: James P Wilson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 30, 2006
Last Updated: Feb 7, 2008

Practice Location

Address: 2000 W PIONEER PKWY
Address 2: SUITE 23
City: Peoria
State: Illinois
ZIP Code: 61615-1835
Phone: (309) 690-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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