JESSICA A WILSON (NPI# 1891951703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891951703 |
| Entity Type | Individual |
| Full Name | JESSICA A WILSON |
| Credential | LDO |
| Practice Address |
1376 Gray Hwy Macon GA 31211-1952 |
| Mailing Address |
152 The Masters Cv Macon GA 31211-6004 |
| Practice Telephone | 4787436006 |
| Practice Fax Number | 4787436008 |
| Mailing Telephone | 4787463911 |
| Mailing Fax Number | 4787469865 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2010-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO002136 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
1376 GRAY HWY |
| City | MACON |
| State | GA |
| Zip Code | 31211-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512393 | Bridgette Rebecca Harrison | Nurse Practitioner | 193 John Michael Drive, Macon, GA 31211 | 2017-07-27 |
| 1861937443 | Daily Grace Adult Day Health Services, Inc | Custodial Care Facility | 868 Highway 49, Macon, GA 31211 | 2017-01-05 |
| 1306980008 | Consultants' Pharmacy | Pharmacy | 655 North Ave, Ste B, Macon, GA 31211 | 2007-02-16 |
| 1710020870 | Smith Management Services LLC | Pharmacy | 655 North Ave Ste A, Macon, GA 31211 | 2007-02-15 |
| 1346305281 | Lillas Lindsley James | Family Medicine | 1268 Jackson Springs Rd, Macon, GA 31211 | 2006-12-22 |
| 1841301686 | William Alan Schobel Sr. | Optometrist | 1376 Gray Highway, Downtown Opticians, Macon, GA 31211 | 2006-08-31 |
| 1326438086 | United Home Care Services,llc | Home Health | 1122 Gray Highway, Macon, GA 31211 | 2015-02-02 |
| 1114232436 | Michael H Leary | Optometrist | 1401 Gray Hwy, C/ O Walmart Optical, Macon, GA 31211 | 2010-08-11 |
| 1063572998 | River Edge Behavioral Health Center | Community/Behavioral Health | 2275 Gray Hwy, Apt. C-2, Macon, GA 31211-1069 | 2006-12-11 |
| 1598827594 | River Edge Behavioral Health Center | Community/Behavioral Health | 2275 Gray Hwy, Apt. C-2, Macon, GA 31211-1069 | 2006-12-15 |
| Find all providers in zip 31211 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285873398 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4640 Presidential Pkwy Ste B, Macon, GA 31206-8727 | 2009-02-12 |
| 1619090354 | North Macon Eyecare | Technician/Technologist | 4445 Forsyth Rd, Macon, GA 31210-4525 | 2007-04-09 |
| 1407992977 | Downtown Opticians, Inc | Technician/Technologist | 3933 Bloomfield Rd, Macon, GA 31206-3615 | 2007-01-30 |
| 1114959376 | Paul D Willis | Technician/Technologist | 3131 Pio Nono Ave, Macon, GA 31206-3027 | 2006-07-07 |
| 1518177849 | Oldham's Opticians, Inc. | Technician/Technologist | 518 Mulberry St, Macon, GA 31201-2700 | 2007-05-23 |
| 1033321369 | Caldwell & Son Opticians Inc | Technician/Technologist | 684 1st St, Macon, GA 31201-2851 | 2007-05-07 |
| 1952447468 | Susan M Nelson | Technician/Technologist | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2007-01-30 |
| 1578613659 | Eye Physicians Professional Association | Technician/Technologist | 626 1st St, Macon, GA 31201-2805 | 2007-01-11 |
| 1023192622 | Wal-mart Stores East, Lp | Technician/Technologist | 6020 Harrison Rd, Macon, GA 31206-4742 | 2006-10-24 |
| 1790868933 | Wal-mart Stores East, Lp | Technician/Technologist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2006-10-23 |
| Find all providers in MACON | ||||
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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.