National Provider Identifier

Donald Robert Wilson, OD

Donald Robert Wilson, OD is listed in the NPPES registry with a primary specialty of Optometrist in Newark, NY and a listed phone number of (315) 331-7917.

NPI 1023104239Newark, NYOptometrist

Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1023104239
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
October 05, 2006
Last Updated
July 08, 2007

Practice Location

  • 117 E Union St
  • Newark, NY 14513-1503

Phone: (315) 331-7917

Mailing Address

  • 88 Matthew Dr
  • Fairport, NY 14450-9337

Specialties

  • Optometrist (152W00000X)

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Biography

Dr. Donald Wilson is an optometrist in Newark, New York, with a long-standing local practice. Public profiles report that he earned his OD from the New England College of Optometry in 1977 and has practiced for more than four decades; he is also listed among the providers at Newark’s Optical Dispensary.

Full Record
NPI
1023104239
Entity Type
Individual
Last Name
Wilson
First Name
Donald
Middle Name
Robert
Name Prefix
Dr.
Credential
OD
Mailing Street Address
88 Matthew Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-9337
Mailing Country
US
Mailing Phone
(585) 223-3412
Practice Street Address
117 E Union St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1503
Practice Country
US
Practice Phone
(315) 331-7917
Enumeration Date
October 05, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
000914282002 (NY, Health Now), 00468644 (NY), 010003598 (NY, Blue Choice), 101949CS (NY, Preferred Care), 020003598 (NY, Blue Cross Blue Shield)