Mary Wilson, MD
Mary Wilson, MD is an Ophthalmology Physician in St Augustine, FL, registered under NPI 1750910949. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 206 ASHOURIAN AVE STE 215, St Augustine, FL 32092. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 166739 | FL | Ophthalmology Physician primary |
| ME166739 | FL | Ophthalmic Plastic and Reconstructive… |
This provider holds licence 166739 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Ophthalmology
- PAC ID
- 0143649970
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Florida | I20240812000939 | Practitioner - Ophthalmology |
| South Carolina | I20260522002849 | Practitioner - Ophthalmology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Ophthalmology. There are 2 separate enrolment records across 2 states (FL, SC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Ophthalmology covers
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NUCC Health Care Provider Taxonomy, code 207W00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | 166739 | FL | primary |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician Ophthalmic Plastic and Reconstructive Surgery | ME166739 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1750910949 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 8, 2020 |
| Last updated | Apr 1, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | MD |
| Practice address |
206 ASHOURIAN AVE STE 215 St Augustine, FL 32092 (904) 296-0098 |
| Mailing address |
PO BOX 11407 Birmingham, AL 35246 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 5 | 0 | 9 | 1 | 0 | 9 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 9 | 1 | 0 | 9 | 8 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.