Mark Eugene Wiley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

721 Issued in MS

Practice address

200 Market PL
Richland, MS 39218-4429

Phone

(601) 420-2101

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wiley Vision Care LLC

  • Optometrist
  • Richland, MS
  • NPI 1710177688
  Medicare reassignment NPD Authorized official
• Canton Vision Clinic, P.a.

  • Optometrist
  • Canton, MS
  • NPI 1174607477
  NPD (past)
• Madison Professional Eyecare Associates, Inc

  • Optometrist
  • Madison, MS
  • NPI 1144304460
  NPD (past)
• Professional Eyecare Associates ,Inc

  • Optometrist
  • Ridgeland, MS
  • NPI 1497830020
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1992750780",
    "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 PL",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392184429",
            "telephone_number": "601-420-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272896",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Weaver
• Heather Morgan Westcott
• Starece Westheimer
• Kimberly Elaine Wier, OTR/L
• Wiley Vision Care LLC
• Denisa Broome Wilson, FNP-C
• Theresa Ann Woodard, PHD
• Brandy M Wrenn
• Amanda Yates, RPH
• William J Zaremba Jr., PTA

• 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; 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.