Individual provider Active NPI

Joshua Hunter Wilson, O.D.

  • Optometrist
  • Tupelo, MS
National Provider Identifier
1255874368
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
941 Issued in MS
Practice address
3833 N Gloster St
Tupelo, MS 38804-0914
Phone
(662) 269-0856
Fax
(662) 269-0856
NPI assigned
Nov 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 941 MS Primary

Addresses

Primary practice location

3833 N Gloster St
Tupelo, MS 38804-0914

Mailing address

411 Eric CV
Oxford, MS 38655-5393
Phone (662) 832-1609

Other practice location 1

28063 MS-28 Suite C
Hazlehurst, MS 39083
Phone (601) 894-2822

Other practice location 2

7118 S Siwell Rd Ste B
Byram, MS 39272-8744
Phone (601) 373-0354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403002360 MS Practitioner - Optometry 6709162803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3833 N Gloster St
Tupelo, MS 38804-0914
Phone (662) 269-0856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
941MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Eye Consultants LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Wedo Eyes LLC Optometrist CurrentSince May 23, 2023 Accepting new patients

Locations

2890 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-3937

1413 W Main St
Ste A
Tupelo, MS 38801
Phone (662) 205-4654

3833 N Gloster St
Tupelo, MS 38804
Phone (662) 269-0856

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1255874368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ERIC CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555393",
            "telephone_number": "662-832-1609",
            "fax_number": "662-269-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040914",
            "telephone_number": "662-269-0856",
            "fax_number": "662-269-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28063 MS-28 Suite C",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "MS",
            "postal_code": "39083",
            "country_code": "US",
            "telephone_number": "601-894-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7118 S Siwell Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392728744",
            "country_code": "US",
            "telephone_number": "601-373-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSHUA",
        "middle_name": "HUNTER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.