ROGER L. WILSON, O.D., P.A.
NPI 1164699054
Optometrist - Corneal and Contact Management in Ponte Vedra Beach, FL

NPI Status: Active since May 11, 2008

Contact Information

110 SOLANA RD
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 280-2021
Fax: (904) 280-2024

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  • Organization
  • Optometrist
  • Corneal and Contact Management
  • Accepts Insurance

About ROGER L. WILSON, O.D., P.A.

This page provides the complete NPI Profile along with additional information for Roger L. Wilson, O.d., P.a., a provider established in Ponte Vedra Beach, Florida operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1164699054 assigned on May 2008. The practitioner's primary taxonomy code is 152WC0802X with license number OP2569 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Roger L. Wilson O.d. (President)

NPI
1164699054
Provider Name
ROGER L. WILSON, O.D., P.A.
Entity Type
Organization
Location Address
110 SOLANA RD PONTE VEDRA BEACH, FL 32082
Location Phone
(904) 280-2021
Location Fax
(904) 280-2024
Mailing Address
110 SOLANA RD PONTE VEDRA BEACH, FL 32082
Mailing Phone
(904) 280-2021
Mailing Fax
(904) 280-2024
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2008
Last Update Date
05-11-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist Corneal and Contact Management

Taxonomy Code
152WC0802X
Type
Eye and Vision Services Providers
License No.
OP2569
License State
FL
Taxonomy Description
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROGER L. WILSON O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 280-2021

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K7661MEDICARE PIN (08)FL 
U25956MEDICARE UPIN (02)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164699054, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 8 + 0 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164699054.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
110 SOLANA RD
PONTE VEDRA BEACH, FL 32082
Occupational Therapist
110 SOLANA RD
PONTE VEDRA BEACH, FL 32082
Occupational Therapist
110 SOLANA RD
PONTE VEDRA BEACH, FL 32082
Speech-Language Pathologist
110 SOLANA RD
PONTE VEDRA BEACH, FL 32082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164699054, enumerated as an "organization" on May 11, 2008.

The provider is located at 110 SOLANA RD PONTE VEDRA BEACH, FL 32082 and the phone number is (904) 280-2021.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Wellpoint,. Please consult your insurance carrier or call the provider to verify.