Individual provider Active NPI

Maurice Joe Wilson, O.D.

  • Corneal and Contact Management Optometrist
  • Conroe, TX
National Provider Identifier
1881601565
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3708TG Issued in TX
Practice address
1409 N Loop 336 W
Conroe, TX 77304-3503
Phone
(936) 788-2551
Fax
(936) 788-2551
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3708TG TX
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3708TG TX Primary

Addresses

Primary practice location

1409 N Loop 336 W
Conroe, TX 77304-3503

Mailing address

1409 N Loop 336 W
Conroe, TX 77304-3503
Phone (936) 788-2551

Other identifiers 1

IdentifierTypeStateIssuer
127225407MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070423000297 TX Practitioner - Optometry 6800991613 Reassigns benefits to 1 organization
Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1409 N Loop 336
Conroe, TX 77304-3503
Phone (936) 788-2551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3708TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Vision Associates PC Corneal and Contact Management CurrentSince Jan 1, 2015 Accepting new patients

Locations

1409 N Loop 336 W
Conroe, TX 77304
Phone (936) 788-2551

25800 Kuykendahl Rd
Tomball, TX 77375
Phone (832) 761-8483

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1881601565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043503",
            "telephone_number": "936-788-2551",
            "fax_number": "936-788-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043503",
            "telephone_number": "936-788-2551",
            "fax_number": "936-788-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MAURICE",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3708TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3708TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127225407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.