DR. SIDNEY MAURICE WILSON (NPI# 1093859563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093859563 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY MAURICE WILSON |
| Credential | O.D. |
| Practice Address |
6745 S Siwell Rd Suite 106 Byram MS 39272-8700 |
| Practice Telephone | 6013730354 |
| Practice Fax Number | 6013730321 |
| Mailing Telephone | 6013730354 |
| Mailing Fax Number | 6013730321 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
568 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02229351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696675 | Sidney Edward Wilson | Driver | 23170 Meadow St, Capron, VA 23829-2562 | 2019-02-21 |
| 1861439523 | Sidney Rodolfo Wilson | Physician Assistant | 4115 162nd St, Flushing, NY 11358-4124 | 2006-06-01 |
| Street Address |
6745 S SIWELL RD SUITE 106 |
| City | BYRAM |
| State | MS |
| Zip Code | 39272-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467486241 | Kroger Limited Partnership I | Pharmacy | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2006-07-10 |
| 1548808421 | Nicholas Jeffrey Billings | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2019-12-11 |
| 1447897491 | Mallory Harris | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2019-12-09 |
| 1306298633 | Cody Michael Childers | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2016-07-11 |
| 1043552086 | Joshua Keith Herrington | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2013-03-17 |
| 1306195854 | James Cooley | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2012-08-30 |
| 1528289709 | Billy Clay Clanton Jr. | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1093204158 | Primary Family Medical Clinic | Nurse Practitioner | 100 Marker Place Dr. Ste D, Byram, MS 39272 | 2018-05-04 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1134649395 | Helping Hands Service LLC | Home Health | 1402 Siwell Rd Suite 110, Byram, MS 39272 | 2017-06-20 |
| 1760916050 | Delivery Me, LLC | Non-emergency Medical Transport (VAN) | 5210 Brookleigh Drive, Byram, MS 39272 | 2017-04-13 |
| 1962893396 | Rebecca Holley | Speech-Language Pathologist | 7213 S Siwell Road, Byram, MS 39272 | 2015-02-06 |
| 1144665738 | Providence Healthcare of Ms | Nursing Care | 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 | 2013-05-08 |
| 1568742146 | Deandre Monique Carr | Optometrist | 131 Handley Boulevard, Byram, MS 39272 | 2011-08-26 |
| 1063690022 | Physical Rehabilitation Management | Physical Therapist | 128 Byram Center Drive, Jackson, MS 39272 | 2008-02-01 |
| Find all providers in zip 39272 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538337902 | Tri County Eye Clinic, Pllc | Optometrist | 15122 Dedeaux Rd, Gulfport, MS 39503-3120 | 2008-02-19 |
| 1396793188 | Hazlehurst Vision Clinic | Optometrist | 247 North Caldwell Dr., Suite B, Hazlehurst, MS 39083 | 2006-05-04 |
| 1528026309 | Moore Vision Inc | Optometrist | 1722 Veterans Blvd, Ste C2, Mccomb, MS 39648-2052 | 2006-05-02 |
| 1407825037 | Barnes Crossing Vision Center P. A. | Optometrist | 3929 N Gloster St, Tupelo, MS 38804-0915 | 2006-03-16 |
| 1073516456 | Christopher Cockrum White | Optometrist | 5341 Lakeland Dr, Flowood, MS 39232-6173 | 2005-05-31 |
| 1700834728 | James Stephen Moore | Optometrist | 1722 Veterans Blvd, Suite C-2, Mccomb, MS 39648-2000 | 2006-05-04 |
| 1700859881 | Tri County Eye Clinic, Pllc | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.