DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK L WILDER, O.D.

Active

DR. DEREK L WILDER, O.D. is a Optometrist healthcare provider located in ROCKAWAY PARK, New York. NPI 1548397821 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ROCKAWAY PARK, NY

Registration Details

NPI Number
1548397821
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2007 (19.445369818901 yrs)
Last Updated
Jan 29, 2021
License
1704DT (KY)

Practice Information

Address
11310 BEACH CHANNEL DR
ROCKAWAY PARK, NY, 116942209
Browse NY providers · Browse ZIP 11694
Phone
7184741234
Fax
7189455809
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in ROCKAWAY PARK, NY

Name Credential NPI
DR. DANIEL SCOTT MIRKIN OD 1558363630
MR. MEYER CHARLES STEPNER OD 1356452049
MARVIN FEINSTEIN OD 1871604462
MS. SUSAN E HONG OD 1003910258
DR. SAMAR AWAD O.D. 1245375211
JOANNA KOMAR OD 1376930099
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.