DR. JONATHAN WILLIAM WILSON O.D.
NPI 1881738532
Optometrist in Southaven, MS
About Dr. Jonathan William Wilson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN WILLIAM WILSON O.D. (NPI 1881738532) is an individual optometrist in Southaven, Mississippi, licensed in Mississippi (722) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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. Jonathan William 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jonathan Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southaven, MS 38671
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Byhalia, MS 38611
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Charleston, MS 38921
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Jonathan Wilson's NPI number?
The NPI number for Jonathan Wilson is 1881738532. It was assigned to this individual provider in the NPPES registry on February 16, 2007.
Where is Jonathan Wilson located?
Jonathan Wilson practices at 1890 Goodman Rd E Ste 100, Southaven, MS 38671. The listed phone number is (662) 772-5882.
What is Jonathan Wilson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jonathan Wilson enrolled in Medicare?
Yes. Jonathan Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jonathan Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wilson reassigns Medicare benefits to 3 organizations: Obrien Vision Center, P.A. (Southaven, MS), Byhalia Vision Center LLC (Byhalia, MS) and Charleston Vision Center PA (Charleston, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Wilson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 18 other insurers list Jonathan Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jonathan Wilson was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jonathan William Wilson, O.D. · NPI 1881738532
Optometrist provider in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since February 16, 2007.
## Identity
- **NPI:** 1881738532 (Entity type: Individual)
- **Enumerated:** February 16, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 722 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1890 GOODMAN RD E STE 100, Southaven, MS 38671-9504
- **Phone:** (662) 772-5882
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Obrien Vision Center, P.A. (NPI 1518046234, Southaven, MS); Byhalia Vision Center LLC (NPI 1952965022, Byhalia, MS); Charleston Vision Center PA (NPI 1932440138, Charleston, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2004
## Record status
- **NPPES last updated:** July 27, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 410000222 (MS); Medicare UPIN VO2311 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1881738532) · Data from the CMS NPPES public registry.