Dr. Matthew W Wilson, MD
Ophthalmology in Memphis, TN. Individual provider (NPI-1).
NPI number1104883701
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1104883701
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew W Wilson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 31289 | TN | Yes |
Practice location
930 Madison Ave Ste 200Memphis, TN 38103-3452
Phone 901-448-6650 · Fax 901-302-2486
Mailing address
1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809
Phone 901-866-8864
Other practice locations
1068 Cresthaven Rd Ste 400
Memphis, TN 38119-0845
Memphis, TN 38119-0845
Phone 901-448-6650 · Fax 901-302-2486
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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