Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750384715 Individual Practitioner Male Practitioner

Dr. John Robert Willcockson , MD

Ophthalmology • Cave Creek, AZ

Professional Overview & Biography Verified Profile Summary

Dr. John Willcockson, MD is a registered healthcare professional specializing in Ophthalmology in Cave Creek, AZ. Practice services are available at 35025 N. EL SENDERO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35025 N. El Sendero Rd

Cave Creek, AZ 85331

Telephone 6056618495
Fax 6056650526

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cave Creek, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Cave Creek, AZ (384 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License SD 0840

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License NE 17563

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6300040 (SD)
Medicaid State Provider ID
36-3050195-18 (NE)
Medicaid State Provider ID
36-3050195-12 (NE)
Medicaid State Provider ID
36-305015-14 (NE)
Commercial Insurance / Payer ID Dakotacare Provider Id
840 (SD)
Commercial Insurance / Payer ID Sd Wellmark Blue Shield I
0001010 (SD)
Commercial Insurance / Payer ID Ne Blue Shield Id
22051 (NE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1336142272

Doctor of Optometry

NPI 1407859341

Doctor of Medicine (M.D.)

NPI 1487657334

Doctor of Medicine (M.D.)

NPI 1487851754

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 01, 2019

Registered at 35025 N. EL SENDERO RD, CAVE CREEK, AZ 85331 (Tel: 6056618495)

📍
Updated Business Mailing Address October 01, 2019

Registered at 35025 N. EL SENDERO RD, CAVE CREEK, AZ 85331 (Tel: 6056618495)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2019

Ophthalmology (License #17563 in NE)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 415 W 3RD ST, YANKTON, SD 570784201 (Tel: 6056659638)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 819, YANKTON, SD 570780819 (Tel: 6056659638)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN WILLCOCKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #0840 in SD)

🟢
Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750384715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: October 01, 2019
Sole Proprietor: No

Mailing Address

35025 N. El Sendero Rd

Cave Creek, AZ 85331

Phone: 6056618495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.