DR. JONATHAN WILLIAM WILSON (NPI# 1881738532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881738532 |
Entity Type | Individual |
Full Name | DR. JONATHAN WILLIAM WILSON |
Credential | O.D. |
Practice Address |
1890 Goodman Rd E Ste 100 Southaven MS 38671-9504 |
Mailing Address |
5339 Shetland Trl Arlington TN 38002-8365 |
Practice Telephone | 6627725882 |
Mailing Telephone | 9018671523 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2012-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 2525 | TN | Eye and Vision Services Providers |
Y | 152W00000X | Optometrist | 722 | MS | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
1841602992 | Jonathan David Wilson | Family Medicine | 3149 Freedom Dr, Charlotte, NC 28208-3869 | 2014-05-23 |
1497176903 | Jonathan Phillip Wilson | Marriage & Family Therapist | 20380 Shoshonee Rd, Apple Valley, CA 92307-5604 | 2013-12-31 |
1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
1760791552 | Jonathan B Wilson | Physical Therapist | 802 East Main St, Mannington, WV 26582 | 2010-09-28 |
1710966510 | Jonathan P Wilson | Family Medicine | 1985 Startown Rd., Fairbrock Medical Clinic Pa, Hickory, NC 28602 | 2006-01-11 |
1942817820 | Jonathan Harry Wilson | Technician | #1 Fifth Street, Elkins, WV 26241 | 2020-09-25 |
1144836610 | Jonathan Michael Wilson | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2020-09-21 |
1265079883 | Jonathan Tyler Wilson | Occupational Therapist | 711 Frankfort Rd, Shelbyville, KY 40065-9447 | 2019-12-02 |
1609423243 | Jonathan Wilson | Physical Therapist | 1145 Ponce De Leon Blvd, Clearwater, FL 33756-1040 | 2019-08-19 |
Street Address |
1890 GOODMAN RD E STE 100 |
City | SOUTHAVEN |
State | MS |
Zip Code | 38671-9504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992282529 | Ty Smith | Optometrist | 1890 Goodman Rd E Ste 100, Southaven, MS 38671-9504 | 2018-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
Find all providers in zip 38671 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790185999 | Kellie Jones | Optometrist | 1890 Goodman Rd E Ste 10, Southaven, MS 38671-9504 | 2014-08-26 |
1770996407 | Desoto Eye and Ear | Optometrist | 5699 Getwell Rd Bldg G2, Southaven, MS 38672-7303 | 2014-06-10 |
1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
1720293566 | Kimberly Ambrosino | Optometrist | 6823 Elmore Rd, Southaven, MS 38671 | 2007-05-14 |
1336287572 | Micheal G Cook Od PC | Optometrist | 3044 Goodman Rd E, Southaven, MS 38672-8760 | 2007-02-01 |
1144388539 | Obreineyecare | Optometrist | 354 Stateline Rd W, Southaven, MS 38671-1610 | 2006-12-05 |
1235213687 | Alan Charles Smith | Optometrist | 1228 Goodman Rd E Ste 1, Southaven, MS 38671-9540 | 2006-10-24 |
1457360679 | Michael G Cook | Optometrist | 3044 Goodman Road East, Southaven, MS 38672-8760 | 2006-08-05 |
1982633152 | Southaven Vision Center, Inc. | Optometrist | 484 Church Rd., Southaven, MS 38671-9714 | 2006-07-01 |
1023079068 | Heather Michelle Dowdy | Optometrist | 6811 Southcrest Pkwy, Southaven, MS 38671-9538 | 2006-03-29 |
Find all providers in SOUTHAVEN |
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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.