Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487756326 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Andrew Wiles , OD

Optometrist • Jacksonville, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Wiles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2006
NPI Deactivation Date November 27, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Wiles, OD was a registered Optometrist practicing in Jacksonville, FL. Throughout an active medical career spanning 19 years, Dr. Wiles provided care at the practice location at 6767 103RD ST until profile deactivation on 2025-11-27.

Practice Location & Contact Primary Location

Practice Address

6767 103rd St

Jacksonville, FL 322107135

Telephone 9044385810
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1144247511

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
180 Specialists

Practicing in Jacksonville, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC2139

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Christy Adams

Pharmacist

NPI 1730789330

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2014

Registered at 6767 103RD ST, JACKSONVILLE, FL 322107135 (Tel: 9044385810)

📍
Updated Business Mailing Address July 01, 2014

Registered at 268 SAINT JOHNS GOLF DR, SAINT AUGUSTINE, FL 320921052 (Tel: 9048870836)

👤
Provider Name / Credentials Updated July 01, 2014

Recorded as RICHARD WILES, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Optometrist (License #OPC2139 in FL)

🟢
Initial NPI Registration & Enumeration September 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Richard Wiles. Be the first to share your experience!

Sign in to leave a review for Dr. Richard Wiles

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487756326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: July 01, 2014
Deactivation Date: November 27, 2025

Mailing Address

268 Saint Johns Golf Dr

Saint Augustine, FL 320921052

Phone: 9048870836

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.