Roger L Wilson (NPI# 1215032370, PAC ID# 2466494307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1215032370 |
PAC ID by PECOS | 2466494307 |
Professional Enrollment ID | I20050602000069 |
Full Name | Roger L Wilson |
Address |
110 Solana Rd Ponte Vedrda Beach FL 32082-2230 |
Gender | M |
Credential | OD |
Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
Graduation Year | 1991 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1515 A Atlantic Blvd, Jacksonville, FL 32207-3301 | ||
110 Solana Rd, Ponte Vedrda Beach, FL 32082-2230 |
Street Address |
110 SOLANA RD |
City | PONTE VEDRDA BEACH |
State | FL |
Zip | 32082-2230 |
Name | Specialty | Organization | Address |
---|---|---|---|
Abubakr A Bajwa | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 130 Professional Dr, Ponte Vedra Beach, FL 32082-1202 |
Cecilia C Olazar | Rheumatology | 130 Professional Dr, Ponte Vedra Beach, FL 32082-1202 | |
Jane Y Hill | Clinical Social Worker | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
David M Harvey | Psychologist, Clinical | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
Joan Simon | Clinical Psychologist | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
Michael Haghighi | Family Practice | 820 A1a, Suite E 9, Ponte Vedra, FL 32082-1400 | |
Shahid M Nasir | Diagnostic Radiology | 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1826 | |
Megan E Deacon-casey | Interventional Radiology | 330 A1a, Suite 321, Ponte Vedra Beach, FL 32082-1826 | |
Timothy David Sharpe | Physician Assistant | 130 Indian Cove Ln, Ponte Vedra Beach, FL 32082-2168 | |
Sherri Chafin | Diagnostic Radiology | Mcclow Clark and Berk Pa | 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173 |
Find all physicians in zip 32082 |
City | PONTE VEDRDA BEACH |
Zip Code | 32082 |
Specialty | OPTOMETRY |
City + Specialty | PONTE VEDRDA BEACH + OPTOMETRY |
Please comment or provide details below to improve the information on Roger L Wilson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.