Dr. Charles Romeo Wilder II
Optomitrist - Corneal and Contact Lenses
15401 Harriet St
Romulus
, Michigan 48174-3069
Dr. Charles Romeo Wilder II
Optomitrist - Corneal and Contact Lenses
15401 Harriet St
Romulus
, Michigan 48174-3069
(734) 229-9558
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Charles Romeo Wilder II
- 15401 Harriet St
- Romulus, MI
- Zip : 48174-3069
- Fax : (734) 229-9558
- Phone : (734) 782-7200
Second Address
- Dr. Charles Romeo Wilder II
- 15401 Harriet St
- Romulus, MI
- Zip : 48174-3069
- Fax : (734) 229-9558
- Phone : (734) 782-7200
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FAQs
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Is Dr. Charles Romeo Wilder II a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 4901002266 | MI |
National Provider Identifier
| NPI | 1275562118 |
|---|---|
| Provider Name | Dr. Charles Romeo Wilder II |
| First Address | Romulus, MI 48174-3069 |
| Second Address | Romulus, MI 48174-3069 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5006929 | (05) | MI |
| T71116 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.