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Active NPI 1215032370 Individual Practitioner Male Practitioner

Dr. Roger L. Wilson , OD

Optometrist • Ponte Vedra Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roger Wilson, OD is a certified Optometrist practicing in Ponte Vedra Beach, FL. With approximately 35 years of clinical experience since graduating from University Alabama Birmingham - School Of Optometry in 1991, Dr. Wilson delivers high-quality medical care to the local community at 110 SOLANA RD.

Dr. Wilson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, extended exam of the back part of the eye with optic nerve drawing, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 Solana Rd

Ponte Vedra Beach, FL 320822230

Telephone 9042802021
Associated Practice Facility / Clinic
🏢 Roger L. Wilson, O.d., P.a. Facility NPI 1164699054

Medicare Profile & Education

Medical School

University Alabama Birmingham - School Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ponte Vedra Beach, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +7.5 yrs vs City Avg
City Avg: 27.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Ponte Vedra Beach, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (35 Years) 35 Yrs
Ponte Vedra Beach Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
70 69 $98.57 $97.07
92202 Extended exam of the back part of the eye with optic nerve drawing
14 14 $16.00 $14.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OP2569

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
Courtney Fickling , MHS, OTR, L

Occupational Therapist

NPI 1437467008

MHS, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 110 SOLANA RD, PONTE VEDRA BEACH, FL 320822230 (Tel: 9042802021)

📍
Updated Business Mailing Address July 08, 2007

Registered at 110 SOLANA RD, PONTE VEDRA BEACH, FL 320822230 (Tel: 9042802021)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER WILSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OP2569 in FL)

🟢
Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215032370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

110 Solana Rd

Ponte Vedra Beach, FL 320822230

Phone: 9042802021

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.