CARMEN J WILSON MD PC
NPI 1053513911
Ophthalmology in Decatur, GA

Active since June 04, 2007
1760 CANDLER RD, SUITE D, DECATUR, GA 30032(678) 914-4733(404) 286-2020 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carmen J Wilson Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN J WILSON MD PC (NPI 1053513911) is a healthcare organization registered as an ophthalmology in Decatur, Georgia and active in the NPI registry since June 2007. The organization lists Carmen J Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053513911
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCARMEN J WILSON MD PC
Location Address1760 CANDLER RD, SUITE DDecatur, GA 30032-3254
Mailing Address67 Harbour Lake DriveFayetteville, GA 30215 · (678) 914-4733 · Fax (770) 474-4620
Fax(404) 286-2020
Organization SubpartNo
Authorized OfficialCarmen J WilsonOwner · (866) 779-3937
Enumeration DateJune 4, 2007
Last NPPES UpdateFebruary 26, 2010
NPI 1053513911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in GA · 044609
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1760 CANDLER RD, Decatur, GA 30032

Other Identifiers 6

Medicaid000791249CGA
Other290982GA · Well Care
Medicare UPING55002
Other188DGMXGA · Medicare Ptan
Other10064121GA · Amerigroup
Medicare ID-Type Unspecified18BDGMXGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
1760 CANDLER RD
DECATUR, GA 30032
Nurse Practitioner (Family)
1760 CANDLER RD
DECATUR, GA 30032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053513911, enumerated as an "organization" on June 04, 2007.

The provider is located at 1760 CANDLER RD SUITE D DECATUR, GA 30032 and the phone number is (678) 914-4733.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Amerigroup. Please consult your insurance carrier or call the provider to verify.