DR. Bruce Joel Wilde, O.D.

NPI #1487860037 in Roslyn Heights, New York

Provider Information

NPI Number: 1487860037
Entity Type: Individual
Name: DR. Bruce Joel Wilde, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: ROSLYN EYE CENTER
Address 2: 360 WILLIS AVE
City: Roslyn Heights
State: New York
ZIP Code: 11577
Phone: (516) 484-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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