DR. WILSON E MOAK MD
NPI 1184629818
Ophthalmology in Jackson, MS

Active since June 17, 2005
1190 N STATE ST, STE 403, JACKSON, MS 39202(601) 353-2020(601) 714-5110 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wilson E Moak Md NPPES

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

DR. WILSON E MOAK MD (NPI 1184629818) is an individual ophthalmology provider in Jackson, Mississippi, licensed in Mississippi (06305) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1184629818
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. WILSON E MOAKCredential: MD
Location Address1190 N STATE ST, STE 403Jackson, MS 39202-2413
Mailing Address1190 N State St, Ste 403Jackson, MS 39202-2413 · (601) 353-2020 · Fax (601) 714-5110
Fax(601) 714-5110
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1184629818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MS · 06305
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.
1190 N STATE ST, Jackson, MS 39202

Other Identifiers 3

Medicare ID-Type UnspecifiedP00204989MS · Medicare Rr
Medicare UPINB65904MS
Medicaid00013075MS

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Ambulatory Surgical)
1190 N STATE ST, STE 102
JACKSON, MS 39202
Physical Medicine & Rehabilitation (Pain Medicine)
1190 N STATE ST, SUITE 202
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Surgery
1190 N STATE ST, STE 502
JACKSON, MS 39202
Pain Medicine (Pain Medicine)
1190 N STATE ST, SUITE 300
JACKSON, MS 39202
Ophthalmology
1190 N STATE ST, STE 403
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Social Worker (Clinical)
1190 N STATE ST, SUITE 301
JACKSON, MS 39202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilson Moak's NPI number?

The NPI number for Wilson Moak is 1184629818. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Wilson Moak located?

Wilson Moak practices at 1190 N State St Ste 403, Jackson, MS 39202. The listed phone number is (601) 353-2020.

What is Wilson Moak's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Wilson Moak was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.