Dr Derek L Wilder, OD | |
11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 | |
(718) 474-1234 | |
(718) 945-5809 |
Full Name | Dr Derek L Wilder |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 18 Years |
Location | 11310 Beach Channel Dr, Rockaway Park, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548397821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1704DT (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisville Optometric Centers Iii, Psc | 8729041926 | 33 |
Louisville Optometric Centers Iii, Psc | 8729041926 | 33 |
Provider Name | Louisville Optometric Centers Iii, Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134111271 PECOS PAC ID: 8729041926 Enrollment ID: O20041109000487 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek L Wilder, OD 4000 Poplar Level Rd, Louisville, KY 40213-1524 Ph: (502) 813-8923 | Dr Derek L Wilder, OD 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 Ph: (718) 474-1234 |
Ms. Susan E Hong, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11310 Beach Channel Dr, Rockaway Park, NY 11694 Phone: 718-474-1234 Fax: 718-945-5809 | |
Harbor Optics Inc Optometrist Medicare: Medicare Enrolled Practice Location: 11310 Beach Channel Dr, Rockaway Park, NY 11694 Phone: 718-474-1234 Fax: 718-945-5809 | |
Dr. Samar Awad, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: One Beach 105 St, 8g, Rockaway Park, NY 11694 Phone: 646-239-8777 | |
Mr. Meyer Charles Stepner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11310 Beach Channel Dr, Rockaway Park, NY 11694 Phone: 718-474-1234 Fax: 718-945-5809 | |
Joanna Komar, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11718 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-634-5808 | |
Mirkin Vision Care Optometrist Medicare: Medicare Enrolled Practice Location: 253 Beach 116th St, Rockaway Park, NY 11694 Phone: 718-634-0005 Fax: 718-474-2003 |