Organization
WADE FAMILY EYE CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGEANN STEVERMER WADE OD (OPTOMETRIST)
(715) 458-3937
Entity
Organization
Contact information
Practice address
2044 15TH AVE., CAMERON, WI 54822-4400
(715) 458-3937
(715) 458-3938
Mailing address
2044 15TH AVE., CAMERON, WI 54822-4400
(715) 458-3937
(715) 458-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2643
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38646500
—
WI
Enumeration date
09/25/2008
Last updated
03/19/2010
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