Wilson, Sidney Maurice

Wilson, Sidney Maurice is an sole proprietor health care provider with primary practice located at 6745 S Siwell Rd Suite 106, Byram MS 39272-8700. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Wilson, Sidney Maurice can be contacted via phone (601) 373-0354.

Contact Information

Primary practice address
6745 S Siwell Rd Suite 106 Byram MS 39272-8700
Phone: (601) 373-0354
Fax: (601) 373-0321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 568 Mississippi

Profile Details

NPI number 1093859563
LBN Legal business name Wilson, Sidney Maurice
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2007
Last updated Feb 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093859563 NPPES
Mississippi MEDICAID 02229351

Popular Providers