Organization
GARY L. WADE, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LEE WADE O.D. (PRESIDENT)
(405) 794-2020
Entity
Organization
Contact information
Practice address
306 SE 4TH ST, MOORE, OK 73160-6707
(405) 794-2020
(405) 794-3768
Mailing address
306 SE 4TH ST, MOORE, OK 73160-6707
(405) 794-2020
(405) 794-3768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
939
OK
Other
Enumeration date
06/06/2007
Last updated
08/30/2012
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