Dr Roger L Wilson, OD | |
110 Solana Rd, Ponte Vedra Beach, FL 32082-2230 | |
(904) 280-2021 | |
Not Available |
Full Name | Dr Roger L Wilson |
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Gender | Male |
Speciality | Optometrist |
Location | 110 Solana Rd, Ponte Vedra Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215032370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OP2569 (Florida) | Primary |
Provider Name | Roger L Wilson Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164699054 PECOS PAC ID: 4486696317 Enrollment ID: O20050601000520 |
Mailing Address | Practice Location Address |
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Dr Roger L Wilson, OD 110 Solana Rd, Ponte Vedra Beach, FL 32082-2230 Ph: (904) 280-2021 | Dr Roger L Wilson, OD 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 | |
Roger L. Wilson, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 110 Solana Rd, Ponte Vedra Beach, FL 32082 Phone: 904-280-2021 Fax: 904-280-2024 | |
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 |