Individual provider Active NPI

Clare L Wilder, O.D.

  • Optometrist
  • Orange Beach, AL
National Provider Identifier
1992873020
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-988-TA-573 Issued in AL
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

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040127000076 AL Practitioner - Optometry 2466354667 Reassigns benefits to 1 organization
I20040831001422 FL Practitioner - Optometry 2466354667 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-988-TA-573ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Eyecare Inc Optometrist CurrentSince Jul 16, 2006 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

Verify at the official NPI Registry.