Wiley Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

721 Issued in MS

Legal business name

WILEY VISION CARE LLC

Practice address

200 Market Place Dr
Richland, MS 39218

Phone

(601) 420-2101

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Eugene Wiley, O.D.NPI 1992750780

Title

Member

Phone

(601) 420-2101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Eugene Wiley, O.D.

  • Optometrist
  • Richland, MS
  • NPI 1992750780
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1710177688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180369",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392180369",
            "telephone_number": "601-397-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARKET PLACE DR",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "39218",
            "telephone_number": "601-420-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-420-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272896",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William C Waller, CCP
• Walter Weaver
• Heather Morgan Westcott
• Starece Westheimer
• Kimberly Elaine Wier, OTR/L
• Mark Eugene Wiley, O.D.
• Denisa Broome Wilson, FNP-C
• Theresa Ann Woodard, PHD
• Brandy M Wrenn
• Amanda Yates, RPH

• Optometrist in Richland, MS
• Providers in Richland, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.