IndividualActive
James Wilson
NPI 1073453890 · Technician/Technologist · Columbia, SC
Provider details
- NPI number
- 1073453890
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2418AJWCOR18 (SC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
100 Palmetto Park Cir
Columbia, SC 29229-7017
Phone: (803) 445-7586
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Taylor St
Columbia, SC 29201-2942
Registry dates
- Enumerated
- 2026-03-31
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.