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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE WILEY
NPI 1679217590
Ophthalmology in Shreveport, LA

Active since April 26, 2022PECOS Enrolled
9300 MANSFIELD RD STE 110, SHREVEPORT, LA 71118(318) 370-2020 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2023, Apr 26, 2022 (2 updates tracked since 2022).

About Nicole Wiley NPPES

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

NICOLE WILEY (NPI 1679217590) is an individual ophthalmology provider in Shreveport, Louisiana, licensed in Louisiana (351887) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679217590
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNICOLE WILEY
Location Address9300 MANSFIELD RD STE 110Shreveport, LA 71118-3137
Mailing Address9300 Mansfield Rd Ste 110Shreveport, LA 71118-3137 · (318) 370-2020
Phone(318) 370-2020
Sole ProprietorNo
Enumeration DateApril 26, 2022
Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1679217590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 351887
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.
9300 MANSFIELD RD STE 110, Shreveport, LA 71118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Wiley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71118 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 4

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

THE CATARACT SURGEONS LLC
Ophthalmology
9300 MANSFIELD RD STE 110
SHREVEPORT, LA 71118
Caddo Parish (318) 370-2020
AMBULATORY STRATEGIES PHYSICIAN GROUP OF LOUISIANA LLC
Clinic/Center (Urgent Care)
9300 MANSFIELD RD STE 110
SHREVEPORT, LA 71118
Caddo Parish (318) 629-3763
JOHN CALEIST SOUD DO
Emergency Medicine
9300 MANSFIELD RD STE 110
SHREVEPORT, LA 71118
Caddo Parish (318) 629-3763
CHRISTUS TRINITY CLINIC
Durable Medical Equipment & Medical Supplies
9300 MANSFIELD RD STE 110
SHREVEPORT, LA 71118
Caddo Parish (318) 629-3763

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 Nicole Wiley's NPI number?

The NPI number for Nicole Wiley is 1679217590. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Nicole Wiley located?

Nicole Wiley practices at 9300 Mansfield Rd Ste 110, Shreveport, LA 71118. The listed phone number is (318) 370-2020.

What is Nicole Wiley's specialty?

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

Is Nicole Wiley enrolled in Medicare?

Yes. Nicole Wiley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Wiley was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.