Wilson, Wendianne M
Wilson, Wendianne M is an sole proprietor health care provider with primary practice located at 4660 86Th St , Urbandale IA 50322-1026. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wilson, Wendianne M can be contacted via phone (515) 727-6340.Contact Information
Primary practice address
4660 86Th St
Urbandale IA 50322-1026
Phone: (515) 727-6340
Fax: (515) 727-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2001 | Iowa |
Profile Details
| NPI number | 1679569495 |
|---|---|
| LBN Legal business name | Wilson, Wendianne M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Feb 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679569495 | NPPES |
| Iowa | MEDICAID | 3086538 |
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