Wilder, Derek L
Wilder, Derek L is an individual health care provider with primary practice located at 11310 Beach Channel Dr , Rockaway Park NY 11694-2209. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilder, Derek L can be contacted via phone (718) 474-1234.Contact Information
Primary practice address
11310 Beach Channel Dr
Rockaway Park NY 11694-2209
Phone: (718) 474-1234
Fax: (718) 945-5809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1704DT | Kentucky |
Profile Details
| NPI number | 1548397821 |
|---|---|
| LBN Legal business name | Wilder, Derek L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jan 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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