Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger L. Wilson, OD, PA

Organization Corneal and Contact Management Optometrist · NPI 1164699054

Roger L. Wilson, OD, PA is a Corneal and Contact Management Optometrist in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

110 Solana Rd
Ponte Vedra Beach, FL 32082-2230
Phone: (904) 280-2021
Fax: (904) 280-2024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence OP2569 (FL)

Record details

NPI number1164699054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Wilson — President · (904) 280-2021
NPI enumeratedMay 11, 2008
Last updated in NPPESMay 11, 2008
Mailing address110 Solana Rd, Ponte Vedra Beach, FL 32082-2230