IndividualActiveAccepts Medicare
Wayne Wilde, O.D.
NPI 1104890342 · Optometrist · Waterford, MI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104890342
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4901002777 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7074 Highland Rd Ste a
Waterford, MI 48327-1500
Phone: (248) 698-2000
Fax: (248) 698-2655
Street-level locationGet directions
Mailing address
7074 Highland Rd Ste a
Waterford, MI 48327-1500
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2009-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.