DR. SIDNEY MAURICE WILSON O.D.
NPI 1093859563
Optometrist - Corneal and Contact Management in Byram, MS

Q: What is Sidney Wilson's NPI number?

The NPI number for Sidney Wilson is 1093859563. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Q: What is Sidney Wilson's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Wilson was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 17, 2007PECOS EnrolledAccepts Medicare Assignment

6745 S SIWELL RD, SUITE 106, BYRAM, MS 39272(601) 373-0354(601) 373-0321 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Sidney Maurice Wilson O.d. NPPES

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

DR. SIDNEY MAURICE WILSON O.D. (NPI 1093859563) is an individual corneal and contact management provider in Byram, Mississippi, licensed in Mississippi (568) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1988).

NPPES Registry Identity

NPI1093859563

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. SIDNEY MAURICE WILSONCredential: O.D.

Location Address6745 S SIWELL RD, SUITE 106Byram, MS 39272-8700

Mailing Address6745 S Siwell Rd, Suite 106Byram, MS 39272-8700 · (601) 373-0354 · Fax (601) 373-0321

Phone(601) 373-0354

Fax(601) 373-0321

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 1988

Enumeration DateFebruary 17, 2007

Last NPPES UpdateFebruary 17, 2011

✔ NPI 1093859563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in MS · 568

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

6745 S SIWELL RD, Byram, MS 39272

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Other Identifiers 3

Medicare UPINT85037MS

Medicaid02229351MS

Medicare ID-Type Unspecified410000047MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sidney Maurice Wilson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355306796

PECOS Enrollment IDI20041124000313

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sidney Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aaron E. Henry Community Health

139 mi

Federally Qualified Health Center (FQHC)

600 OHIO AVE
Clarksdale, MS 38614

Reassigned Medicare billing, Mississippi enrollment
23 clinicians in this Medicare group

NPI 1104574847 (662) 624-4292

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39272 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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