Individual provider · Type 1 NPI

Mark D. Wade, OD

Optometrist · St. Louis, MO

NPI number 1376512137 Active

Practice location

12601 Olive Blvd
St. Louis, MO 63141-6313

Call (314) 336-4690 Map

Fax (800) 432-6004

Mailing address

211 E Broadway
Alton, IL 62002-6220

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XT02999 (MO)
Optometrist 152W00000X046-008455 (IL)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1376512137

Mark D. Wade, OD's National Provider Identifier is 1376512137, issued on Mar 15, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 19, 2012.