| Roger L. Wilson, O.d., P.a. | |
|
110 Solana Rd, Ponte Vedra Beach, FL 32082-2230 | |
| (904) 280-2021 | |
| (904) 280-2024 |
| Full Name | Roger L. Wilson, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 110 Solana Rd, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164699054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | OP2569 (Florida) | Primary |
| Provider Name | Roger L Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215032370 PECOS PAC ID: 2466494307 Enrollment ID: I20050602000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger L. Wilson, O.d., P.a. 110 Solana Rd, Ponte Vedra Beach, FL 32082-2230 Ph: (904) 280-2021 | Roger L. Wilson, O.d., P.a. 110 Solana Rd, Ponte Vedra Beach, FL 32082-2230 Ph: (904) 280-2021 |
Dr. Gilbert Houston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 150 Professional Dr, Ste 300, Ponte Vedra Beach, FL 32082 Phone: 904-285-8448 Fax: 904-285-3410 | |
Susan Rost Monahan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Professional Dr Ste 300, Ponte Vedra Beach, FL 32082 Phone: 904-285-8448 Fax: 904-285-3410 | |
Karen Sue Wolf, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Professional Dr, Ste 300, Ponte Vedra Beach, FL 32082 Phone: 904-285-8448 Fax: 904-285-3410 | |
Dr. Roger L. Wilson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 110 Solana Rd, Ponte Vedra Beach, FL 32082 Phone: 904-280-2021 | |
Dr. Allison Ann Falden, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 880 A1a N Ste 13, Ponte Vedra Beach, FL 32082 Phone: 954-655-6807 | |
Drs. Wood, Lanier & Bowman, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082 Phone: 904-280-9000 Fax: 904-280-4448 |