Roger L. Wilson, O.D., P.A.

LBN: Roger L. Wilson, O.D., P.A.
Roger L. Wilson, O.D., P.A. is an health care organization with primary practice located at 110 Solana Rd , Ponte Vedra Beach FL 32082-2230. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Roger L. Wilson, O.D., P.A. can be contacted via phone (904) 280-2021, or through Wilson, Roger L. via phone (904) 280-2021.

Contact Information

Primary practice address
110 Solana Rd Ponte Vedra Beach FL 32082-2230
Phone: (904) 280-2021
Fax: (904) 280-2024
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Roger L. Doctor of Optometry (OD)
Phone: (904) 280-2021

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OP2569 Florida

Profile Details

NPI number 1164699054
LBN Legal business name Roger L. Wilson, O.D., P.A.
DBA Doing business as
Authorized official Wilson, Roger L. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2008
Last updated May 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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