Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan William Wilson, OD

Individual provider Optometrist · NPI 1881738532

Dr. Jonathan William Wilson, OD is an Optometry in Southaven, Mississippi. Graduated from Southern College of Optometry in 2004, 22 years ago. Practices with Obrien Vision Center, PA, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
22
Trained at
Southern College of Optometry
Licensed in
MS, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1890 Goodman Rd E Ste 100
Southaven, MS 38671-9504
Phone: (662) 772-5882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 722 (MS)
Optometrist Taxonomy 152W00000X · Licence 2525 (TN)

Record details

NPI number1881738532
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 27, 2012
Mailing address5339 Shetland Trl, Arlington, TN 38002-8365

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Obrien Vision Center, P.A. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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