NPI 1508207309

Kyle Douglas Wilson, OD

Practitioner Optometrist Farmington, CT

Practice location

Address: 61 Westfarms Mall D111, Farmington, CT 06032-2631
Phone: (801) 473-9002
Mailing address: 158 Inverness Dr W A309, Englewood, CO 80112-5026

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3124 (CO)

Other Optometrist providers in Connecticut →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 8674334-9934 (UT)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2897 (CT)

Registry record

NPI: 1508207309
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2013
Record last updated: 24 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.