Organization
WADE EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D WADE OD (PRES OWNER OD)
(574) 287-3333
Entity
Organization
Contact information
Practice address
810 E COLFAX AVE, SOUTH BEND, IN 46617-2804
(574) 287-3333
(574) 287-9999
Mailing address
810 E COLFAX AVE, SOUTH BEND, IN 46617-2804
(574) 287-3333
(574) 287-9999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001454A&B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100279980A
—
IN
Enumeration date
01/30/2007
Last updated
11/08/2012
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