Wayne G Wilde is a Optometrist in Waterford, Michigan. Wayne G Wilde practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wayne G Wilde is 1104890342. The last update date is 2009-02-25.
Wayne G Wilde's current location address is 7074 Highland Rd Ste A, Waterford, Michigan. You can contact this provider via phone number 2486982000 and fax number 2486982655. The mailing address for Wayne G Wilde is 7074 Highland Rd Ste A, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne G Wilde |
|---|---|
| Address | 7074 Highland Rd Ste A, Waterford, Michigan |
| Phone Number | 2486982000 |
| Fax Number | 2486982655 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104890342 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2009-02-25 |
Provider Mailing Address Detail
| Address | 7074 Highland Rd Ste A |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483271500 |
| Phone Number | 2486982000 |
| Fax Number | 2486982655 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002777 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900F367410 | MI | BCBSM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wayne G Wilde by the Centers for Medicare & Medicaid Services?
The Wayne G Wilde has been issued the NPI (National Provider Identifier) 1104890342, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Wayne G Wilde?
The Wayne G Wilde is physically situated at 7074 Highland Rd Ste A, in the city of Waterford, state of MI, with the postal code 483271500.
What is the Wayne G Wilde's specialty and taxonomy code?
The Wayne G Wilde's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104890342 to Wayne G Wilde?
The Centers for Medicare & Medicaid Services assigned the 1104890342 to Wayne G Wilde on 2006-02-15.
When was the information pertaining to Wayne G Wilde most recently updated or revised?
The details related to Wayne G Wilde, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-25.
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