Jeffrey Scott Wade, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002947B Issued in IN

Practice address

155 E University Dr
Granger, IN 46530-4474

Phone

(574) 243-7732

NPI assigned

Oct 15, 2006

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wade Eye Associates, Inc.Group PAC ID 3173673522, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wade Eye Associates, Inc.

  • Optometrist
  • Granger, IN
  • NPI 1366586505
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1134219447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50571 PRESTONWOOD CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304963",
            "telephone_number": "574-274-0117",
            "fax_number": "574-875-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E UNIVERSITY DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304474",
            "telephone_number": "574-243-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50571 Prestonwood Ct",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465304963",
            "country_code": "US",
            "telephone_number": "574-274-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002947B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204300A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "35-2132356",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Vermilyer
• Elizabeth Visser, OTR/L
• Jessica R Vitale
• Maria Vreeke
• Wade Eye Associates, Inc.
• Walgreen Co (Walgreens #06965)
• Walgreen Co (Walgreens #11544)
• Claire Marie Walker, CNM
• Marcella Ann Ward
• Kaia Warner

• Optometrist in Granger, IN
• Providers in Granger, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.