Individual
DR. JAMES DANIEL WILDER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
411 N SECTION ST, FAIRHOPE, AL 36532-2634
(251) 990-3937
(251) 990-9990
Mailing address
PO BOX 2020, FAIRHOPE, AL 36533-2020
(251) 990-3937
(251) 990-9990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B26-TA-699
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WI009911416
—
AL
Enumeration date
01/31/2006
Last updated
03/20/2020
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