DR. JAMES DANIEL WILDER III (NPI# 1386615961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615961 |
| Entity Type | Individual |
| Full Name | DR. JAMES DANIEL WILDER III |
| Credential | O.D. |
| Practice Address |
411 N Section St Fairhope AL 36532-2634 |
| Mailing Address |
Po Box 2020 Fairhope AL 36533-2020 |
| Practice Telephone | 2519903937 |
| Practice Fax Number | 2519909990 |
| Mailing Telephone | 2519903937 |
| Mailing Fax Number | 2519909990 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-B26-TA-699 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | WI009911416 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751971 | James Tyrone Wilder | Social Worker | B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 | 2017-10-23 |
| 1043252901 | James Franklin Wilder Jr. | Radiology | 3415 S Loop 256, Palestine, TX 75801-6981 | 2006-06-12 |
| 1558451864 | James Robert Wilder | Dentist | 3702 Ensign Rd Ne, Olympia, WA 98506-5054 | 2006-10-15 |
| 1942298609 | James Marcus Wilder | Physician Assistant | 160 Central Ave, Trion, GA 30753-1125 | 2005-10-07 |
| 1982602173 | James L Wilder | Obstetrics & Gynecology | 540 Madison Oak Dr, Ste # 570, San Antonio, TX 78258-3943 | 2005-07-12 |
| Street Address |
411 N SECTION ST |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262108 | Jeffrey Leigh Wallace | Preventive Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2005-08-12 |
| 1316464183 | Alabama Providence Healthcare Services | Family Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2017-08-23 |
| 1932547437 | Southern Eye Group of Alabama, LLC | Ophthalmology | 411 N Section St, Fairhope, AL 36532-2649 | 2013-06-06 |
| 1699068783 | Eastern Shore Care Services | Clinic/Center | 411 N Section St, Fairhope, AL 36532-2649 | 2011-05-23 |
| 1104011964 | Clearlyusa.com, L.L.C. | Audiologist-Hearing Aid Fitter | 411 N Section St, Fairhope, AL 36532-2649 | 2007-09-13 |
| 1164614137 | Eastern Shore Care Services, P.C. | Surgery | 411 N Section St, Fairhope, AL 36532-2649 | 2007-08-14 |
| 1114046026 | Bay Eyes Spectacular, Inc | Technician/Technologist | 411 N Section St, Fairhope, AL 36532-2649 | 2007-03-29 |
| 1700801370 | Mary E Johnsten | Physician Assistant | 411 N Section St, Fairhope, AL 36532 | 2006-07-13 |
| 1518919406 | Julia Centanni Ellison | Family Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2006-05-17 |
| 1649222670 | Kathryn M. Slaughter | Nurse Anesthetist, Certified Registered | 411 N Section St, Fairhope, AL 36532-2649 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| 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 |
|---|---|---|---|---|
| 1396884227 | Bay Eyes Cataract and Laser Center, Inc. | Optometrist | 411 N. Section St., Fairhope, AL 36532-2649 | 2007-02-06 |
| 1932294386 | Eastern Shore Eye Care, PC | Optometrist | 118 Lottie Ln, Fairhope, AL 36532-2995 | 2006-10-03 |
| 1942393277 | J. Gregory Reasons | Optometrist | 213 Manor Blvd, Fairhope, AL 36532-3649 | 2006-09-30 |
| 1699115477 | Angela Cherniak | Optometrist | 411 North Section Street, Fairhope, AL 36532 | 2013-06-26 |
| 1245516368 | Fairhope Eye and Laser Center, LLC | Optometrist | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 | 2011-11-03 |
| 1295021210 | Stephanie Leann Montgomery | Optometrist | 118 Lottie Ln, Fairhope, AL 36532-2995 | 2011-06-28 |
| 1407142086 | Ayesha Kidd | Optometrist | 411 North Section Street, Fairhope, AL 36532 | 2011-06-22 |
| 1699932012 | Sally Wong Moore | Optometrist | 10040 County Road 48, Fairhope, AL 36533 | 2008-05-22 |
| 1215130919 | J Gregory Reasons PC | Optometrist | 213 Manor Blvd, Fairhope, AL 36532-3649 | 2007-06-08 |
| 1114013166 | Duane Michael Schrock | Optometrist | 118 Lottie Ln, Fairhope, AL 36532-2995 | 2006-10-05 |
| Find all providers in FAIRHOPE | ||||
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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.