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Contact Information

SIDNEY M WILSON, OD
6745 S SIWELL RD
SUITE 106
BYRAM, MS39272-8700
 Phone: 601-373-0354
 Fax: 601-373-0321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for SIDNEY M WILSON · (Male)

NPI Number 1093859563
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/17/2007
Last updated 02/17/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 568
  • MS Medicaid 02229351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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