WAYNE G WILDE (NPI# 1104890342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104890342 |
| Entity Type | Individual |
| Full Name | WAYNE G WILDE |
| Credential | O.D. |
| Practice Address |
7074 Highland Rd Ste A Waterford MI 48327-1500 |
| Practice Telephone | 2486982000 |
| Practice Fax Number | 2486982655 |
| Mailing Telephone | 2486982000 |
| Mailing Fax Number | 2486982655 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2009-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002777 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 900F367410 | 01 |
| Street Address |
7074 HIGHLAND RD STE A |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730374935 | Wayne G. Wilde, O.d., P.C. | Optometrist | 7074 Highland Rd Ste A, Waterford, MI 48327-1500 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158174 | Katina Simmons | Optometrist | 567 Vauxhall Street Ext Ste 105, Waterford, CT 06385-4331 | 2018-06-18 |
| 1790130656 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Hartford Turnpike, Waterford, CT 06385-4238 | 2016-04-28 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1457793432 | John I Nedelcu | Optometrist | 903 Hartford Tpke, Waterford, CT 06385-4264 | 2013-07-19 |
| 1730325747 | Richard J. St. Louis O.d. P.C. | Optometrist | 4486 W Walton Blvd, Waterford, MI 48329-4073 | 2008-12-22 |
| 1912192436 | Stephen F. Fedus IIi | Optometrist | 824 Hartford Tpk., Sears Optical Dept., Waterford, CT 06385 | 2007-09-07 |
| 1316083215 | Mary C. Beaulieu, Od | Optometrist | 125 Boston Post Rd, Waterford, CT 06385-2812 | 2007-01-29 |
| 1710038401 | Richard James St Louis | Optometrist | 4486 W. Walton Blvd, Waterford, MI 48329-4073 | 2007-01-16 |
| 1184782641 | Gerald Norman Gauthier | Optometrist | 4924 Highland Rd, Waterford, MI 48328-1142 | 2006-12-05 |
| 1356427165 | Andrea L Parisi | Optometrist | 401 N Milwaukee St Ste 3, Waterford, WI 53185-4493 | 2006-10-27 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.