DR. CARLOS R VILLA (O.D.) – Optometrist, NPI 1942291901

DR. CARLOS R VILLA (O.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3839 (FL). The NPI Number for DR. CARLOS R VILLA (O.D.) is 1942291901

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS R VILLA (O.D.)
NPI
1942291901
Phone
(904) 781-7717
Address
7077-7 Normandy Blvd
Enumeration Date
31 October 2005
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508934005
Graduation Year
2003 (23 years ago)
PAC ID
6406744598
Group Practice PAC ID
0143541037
Professional Enrollment ID
I20040309001366
Address ID
FL323121713TA1480XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. CARLOS R VILLA (O.D.)

  • 7077-7 Normandy Blvd

    Jacksonville, FL 322054840

    Phone: (904) 781-7717

    Fax: (904) 781-6367

    Type: Location

  • 1950 OLD GALLOWS RD

    SUITE 520

    VIENNA, VA 221823990

    Phone: (703) 847-8899

    Fax: (703) 991-0514

    Type: Mailing

  • 28 BLANDING BLVD

    ORANGE PARK, FL 320732202

    Phone: (904) 264-5483

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,006.

Total Amount is formed as General ($1,006) + Research ($0) + Ownership ($0) = $1,006.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($490).

Total Amount

$1,006

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,006

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040309001366IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 32205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143541037View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL
-VA
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How is DR. CARLOS R VILLA (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. CARLOS R VILLA (O.D.) with NPI 1942291901.
Does CMS list DR. CARLOS R VILLA (O.D.) as active?
Yes — DR. CARLOS R VILLA (O.D.) is active in the NPI listing used on this page.
What is DR. CARLOS R VILLA (O.D.)'s specialty?
The listing groups DR. CARLOS R VILLA (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. CARLOS R VILLA (O.D.) serve?
DR. CARLOS R VILLA (O.D.)'s listing highlights Jacksonville, Florida; more addresses can appear in NPPES.
Is the information about DR. CARLOS R VILLA (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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