Kirsten Reed Wilgers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3622 Issued in FL

Practice address

5820 Williamson Blvd
Suite 106
Port Orange, FL 32128-6100

Phone

(386) 767-4449

Fax

(386) 767-1980

NPI assigned

Aug 17, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSB Eye IncGroup PAC ID 4981135571, 2 clinicians

Total Vision of Port Orange, Inc.Group PAC ID 9830166255, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NSB Eye Inc

  • Optometrist
  • New Smyrna Beach, FL
  • NPI 1427895234
  Medicare reassignment Care Compare group NPD Authorized official
• Total Vision of Port Orange, Inc.

  • Optometrist
  • Port Orange, FL
  • NPI 1598984676
  Medicare reassignment Care Compare group NPD
• Total Vision PA

  • Optometrist
  • Debary, FL
  • NPI 1770625691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265424188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 S WILLIAMSON BLVD",
            "address_2": "STE 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286400",
            "telephone_number": "386-767-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 WILLIAMSON BLVD",
            "address_2": "SUITE 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286100",
            "telephone_number": "386-767-4449",
            "fax_number": "386-767-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILGERS",
        "first_name": "KIRSTEN",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620669700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTH CARE",
            "identifier": "010470",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISIONCARE PLANS",
            "identifier": "542098594",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5021890001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620815100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "FL3622",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wickshire Port Orange Opco LLC
• Timothy J Wierzbicki, MD
• Sebastian Wikstrom
• Jenna Paige Wilcox
• Joey Darren Wilder, D.O.
• Breanna Williams
• Bryan Williams
• David W. Williams
• Delisa Williams
• Emari Williams

• Optometrist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.