Roger L. Wilson, O.D., P.A. in Ponte Vedra Beach - Corneal And Contact Management
Roger L. Wilson, O.D., P.A. - NPI 1164699054
Roger L. Wilson, O.D., P.A. is a Corneal And Contact Management in Ponte Vedra Beach, Florida. Roger L. Wilson, O.D., P.A. practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Roger L. Wilson, O.D., P.A. is 1164699054. The last update date is 2008-05-11.
Roger L. Wilson, O.D., P.A.'s current location address is 110 Solana Rd, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042802021 and fax number 9042802024. The mailing address for Roger L. Wilson, O.D., P.A. is 110 Solana Rd, Ponte Vedra Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roger L. Wilson, O.D., P.A. |
|---|---|
| Address | 110 Solana Rd, Ponte Vedra Beach, Florida |
| Phone Number | 9042802021 |
| Fax Number | 9042802024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson L. Roger |
| Credentials | O.D. |
| Telephone Number | 9042802021 |
NPI Number Detail
| NPI Number | 1164699054 |
|---|---|
| Provider Enumeration Date | 2008-05-11 |
| Last Updated Date | 2008-05-11 |
Provider Mailing Address Detail
| Address | 110 Solana Rd |
|---|---|
| City | Ponte Vedra Beach |
| State | Florida (FL) |
| Post Code | 320822230 |
| Phone Number | 9042802021 |
| Fax Number | 9042802024 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | OP2569 |
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Post Comment/ Review Below
What is the unique identifier code issued to Roger L. Wilson, O.D., P.A. by the Centers for Medicare & Medicaid Services?
The Roger L. Wilson, O.D., P.A. has been assigned the NPI (National Provider Identifier) 1164699054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roger L. Wilson, O.D., P.A.?
The Roger L. Wilson, O.D., P.A. is physically situated at 110 Solana Rd, in the city of Ponte Vedra Beach, state of FL, with the postal code 320822230.
What is the Roger L. Wilson, O.D., P.A.'s area of specialization and corresponding taxonomy classification?
The Roger L. Wilson, O.D., P.A.'s specialty field is Corneal And Contact Management, and it falls under the taxonomy code 152Wc0802X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1164699054 to Roger L. Wilson, O.D., P.A.?
The Centers for Medicare & Medicaid Services assigned the 1164699054 to Roger L. Wilson, O.D., P.A. on 2008-05-11.
As of what date was the information pertaining to Roger L. Wilson, O.D., P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roger L. Wilson, O.D., P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-11.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH