Organization
WADE EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SCOTT WADE O.D. (PRESIDENT,O.D.)
(574) 273-9233
Entity
Organization
Contact information
Practice address
50600 WOODBURY WAY, GRANGER, IN 46530-6902
(574) 273-9233
(574) 287-9999
Mailing address
50600 WOODBURY WAY, GRANGER, IN 46530-6902
(574) 273-9233
(574) 287-9999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002947B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134219447
NIP# JEFF WADE, O.D.
IN
01
—
1174622856
NPI# JENNIFER WADE, O.D
IN
Enumeration date
02/19/2007
Last updated
05/07/2009
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