Marilyn Marie Wilson

Optician · Starke, FL

Individual Active NPI

NPI number 1598448938

Practice location

14500 Us Highway 301 S
Starke, FL 32091-7858
Phone
(904) 964-2250
Fax
(904) 964-2425

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NPI record

NPI
1598448938
Entity type
Individual (Type 1)
Enumeration date
August 11, 2023
Last updated
August 11, 2023
Certified
August 9, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X DO4862 FL

Mailing address

5901 Thomas Ln
Hampton, FL 32044-4466
Phone
(904) 964-2250
Fax
(904) 964-2425

About Marilyn Wilson

Marilyn Marie Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 14500 Us Highway 301 S, Starke, FL 32091-7858. The NPI number 1598448938 was assigned on August 11, 2023 and the record was last updated on August 11, 2023.

Marilyn Wilson lists a license in the registry: #DO4862 (FL) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marilyn Marie Wilson?

The NPI number is 1598448938.

What is the phone number of Marilyn Wilson?

The phone number listed for the practice location is (904) 964-2250.

Where is Marilyn Wilson located?

14500 Us Highway 301 S, Starke, FL 32091-7858.

What is the taxonomy code for Marilyn Wilson?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.