Search › Missouri › 152W00000X
Derek Wiles, O.D
NPI 1225336324 · on the registry since 2011
Practice
- Address
- 200 E Woodlawn Dr
Leadington, MO 63601 - Phone
- (573) 431-1301
- Fax
- (573) 431-9339
- Organisation at this address
- Complete Vision Care, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri