Nicole Wiley

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

351887 Issued in LA

Practice address

9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137

Phone

(318) 370-2020

NPI assigned

Apr 26, 2022

Last updated

Jul 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in Shreveport, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1679217590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 MANSFIELD RD STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183137",
            "telephone_number": "318-370-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MANSFIELD RD STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183137",
            "telephone_number": "318-370-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "351887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnessa Wilcox
• Elizabeth S. Wild, MD, MS
• Jessica Anne Wilden, MD
• Angellun Vanessa Wilder, LCSW
• Rebecca J Wilder, DROT, LOTR
• Kenneth I Wilhite, RPH
• Arzeria L Wilkerson
• Eunice Wilkerson
• Everett Michael Wilkerson, RPH, D.PHARM
• Lekeshia Mishelay Wilkerson

• Ophthalmology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.