Individual
DR. JASON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
202 E RAILROAD ST, LONG BEACH, MS 39560-4627
(228) 868-2020
(228) 863-2695
Mailing address
202 E RAILROAD ST, LONG BEACH, MS 39560-4627
(228) 868-2020
(228) 863-2695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
929
MS
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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