Individual provider Active NPI

Madison R Wilson, OD

  • Optometrist
  • Newton, MS
National Provider Identifier
1417849472
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1125 Issued in MS
Practice address
107 Decatur St
Newton, MS 39345-2309
Phone
(601) 683-3241
Fax
(601) 683-3233
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 1125 MS Primary

Addresses

Primary practice location

107 Decatur St
Newton, MS 39345-2309

Mailing address

14994 W Main St
Louisville, MS 39339-2616
Phone (662) 446-9000

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
I20250919001557 MS Practitioner - Optometry 5496259665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

107 Decatur St
Newton, MS 39345-2309
Phone (601) 683-3241

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Eye Care, PA Optometrist CurrentSince Jul 12, 2025 Accepting new patients
Ms Eye Care PA Optometrist CurrentSince Jul 12, 2025 Accepting new patients

Locations

2684 Highway 15
Bay Springs, MS 39422
Phone (601) 764-2120

14994 W Main St
Louisville, MS 39339
Phone (662) 446-9000

5002 Highway 39 N
Bldg B
Meridian, MS 39301
Phone (601) 483-7331

107 Decatur St
Newton, MS 39345
Phone (601) 683-3241

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1417849472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-446-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DECATUR ST",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452309",
            "telephone_number": "601-683-3241",
            "fax_number": "601-683-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MADISON",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MS

Sources for this page

Verify at the official NPI Registry.