Tyrone Ervin Wilson

Optician · Dorchester, MA

Individual Active NPI

NPI number 1700602174

Practice location

98 Dakota St Apt 2
Dorchester, MA 02124-1270
Phone
(857) 406-9883

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NPI record

NPI
1700602174
Entity type
Individual (Type 1)
Enumeration date
December 2, 2024
Last updated
December 8, 2024
Certified
December 8, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 6629 MA

Mailing address

757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190
Phone
(857) 406-9883

About Tyrone Wilson

Tyrone Ervin Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 98 Dakota St Apt 2, Dorchester, MA 02124-1270. The NPI number 1700602174 was assigned on December 2, 2024 and the record was last updated on December 8, 2024.

Tyrone Wilson lists a license in the registry: #6629 (MA) 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 Tyrone Ervin Wilson?

The NPI number is 1700602174.

What is the phone number of Tyrone Wilson?

The phone number listed for the practice location is (857) 406-9883.

Where is Tyrone Wilson located?

98 Dakota St Apt 2, Dorchester, MA 02124-1270.

What is the taxonomy code for Tyrone 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.

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