Active NPI
Clare L Wilder, O.D.
- Optometrist
- Orange Beach, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-988-TA-573
- Practice address
- 27250 Perdido Beach Blvd Unit C
Orange Beach, AL 36561-3205 - Phone
- (251) 974-1233
- Fax
- (844) 965-9875
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-988-TA-573 | AL | Primary |
Addresses
Primary practice location
27250 Perdido Beach Blvd Unit C
Orange Beach, AL 36561-3205
Mailing address
27250 Perdido Beach Blvd Unit C
Orange Beach, AL 36561-3205
Phone (251) 974-1233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27250 Perdido Beach Blvd
C
Orange Beach, AL 36561-3205
Phone (251) 974-1233
3960 W Navy Blvd
Suite 1
Pensacola, FL 32507-1266
Phone (850) 455-0120
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-988-TA-573 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Eyecare Inc | Optometrist | Current | Accepting new patients |
Locations
27250 Perdido Beach Blvd
#C
Orange Beach, AL 36561
Phone (251) 974-1233
3960 W Navy Blvd
Ste 1
Pensacola, FL 32507
Phone (850) 455-0120
4469 Mobile Hwy
Ste B
Pensacola, FL 32506
Phone (850) 455-0120
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1992873020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27250 PERDIDO BEACH BLVD UNIT C",
"city": "ORANGE BEACH",
"state": "AL",
"postal_code": "365613205",
"telephone_number": "251-974-1233",
"fax_number": "844-965-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27250 PERDIDO BEACH BLVD UNIT C",
"city": "ORANGE BEACH",
"state": "AL",
"postal_code": "365613205",
"telephone_number": "251-974-1233",
"fax_number": "844-965-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "CLARE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-988-TA-573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Beach, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.