| 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 | 35 |
| Louisville Optometric Centers Iii, Psc | 8729041926 | 35 |
| 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: Medicare Enrolled 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 | |
Dr. Gregory Patrizio, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11310 Beach Channel Dr, Rockaway Park, NY 11694 Phone: 718-474-1234 | |
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 | |
Gursimran Kaur, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11718 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-634-5808 Fax: 718-634-8125 |