Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek L Wilder, OD

Individual provider Optometrist · NPI 1548397821

Dr. Derek L Wilder, OD is an Optometry in Rockaway Park, New York. Qualified in 2007, 19 years ago. Practices with Louisville Optometric Centers III, PSC, a 37-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
19
Licensed in
KY
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11310 Beach Channel Dr
Rockaway Park, NY 11694-2209
Phone: (718) 474-1234
Fax: (718) 945-5809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1704DT (KY)

Record details

NPI number1548397821
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing address4000 Poplar Level Rd, Louisville, KY 40213-1524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Louisville Optometric Centers Iii, Psc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockaway Park