MRS. STEPHANIE ANN WILSON (O.D.) – Optometrist, NPI 1649289489

MRS. STEPHANIE ANN WILSON (O.D.) is a healthcare provider. based in Midland, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 6715TG (TX). The NPI Number for MRS. STEPHANIE ANN WILSON (O.D.) is 1649289489

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE ANN WILSON (O.D.)
NPI
1649289489
Phone
(432) 689-0323
Address
4311 W. WADLEY AVE.
Enumeration Date
7 August 2006
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
4326890323
Graduation Year
2005 (21 years ago)
PAC ID
5092733386
Group Practice PAC ID
7810016805
Professional Enrollment ID
I20051104000442
Address ID
TX797075457MI4311XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Loading map...

Provider Addresses for MRS. STEPHANIE ANN WILSON (O.D.)

  • Phillips Eye Clinic, 4311, West Wadley Avenue, Wedgewood Park, Midland, Midland County, Texas, 79707, United States

    MIDLAND, TX 797075457

    Phone: (432) 689-0323

    Fax: (432) 689-2916

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $483.

Total Amount is formed as General ($483) + Research ($0) + Ownership ($0) = $483.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($236).

Total Amount

$483

General + Research + Ownership

Payments

20

Total payment records

General Amount

$483

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051104000442IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79707)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810016805View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MRS. STEPHANIE ANN WILSON (O.D.)?
MRS. STEPHANIE ANN WILSON (O.D.) — NPI 1649289489 — is the standard way to identify this listing.
Can I rely on MRS. STEPHANIE ANN WILSON (O.D.) being an active provider?
As of the registry snapshot, MRS. STEPHANIE ANN WILSON (O.D.) is marked active.
What taxonomy line describes MRS. STEPHANIE ANN WILSON (O.D.)?
For research purposes, treat MRS. STEPHANIE ANN WILSON (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. STEPHANIE ANN WILSON (O.D.) based?
MRS. STEPHANIE ANN WILSON (O.D.) is tied to Midland, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

27127 HORIZON BAY LN
NPI: 1912909003
4109, North Midland Drive, Wal-Mart North, Midland, Midland County, Texas, 79707, United States
NPI: 1659363315
4109, North Midland Drive, Wal-Mart North, Midland, Midland County, Texas, 79707, United States
NPI: 1629060199
4109, North Midland Drive, Wal-Mart North, Midland, Midland County, Texas, 79707, United States
NPI: 1447242912
2301, Boyd Avenue, Hundle Heights, Midland, Midland County, Texas, 79705, United States
NPI: 1285693473
3104 Indiana Ave
NPI: 1902824337
3415 N LOOP 250 W STE 201
NPI: 1710995493
2101 N MIDLAND DR STE 8
NPI: 1932119765
North Midkiff Road, Imperial Heights, Midland, Midland County, Texas, 79703, United States
NPI: 1164435665