Brian Wade

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004858 Issued in MI

Practice address

350 W North St
Gaylord, MI 49735-1525

Phone

(989) 732-6455

NPI assigned

Aug 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey K Chaulk MD PCGroup PAC ID 6305947458, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.39 of 100Reported as group

Quality

89.51

Improvement activities

40

Cost

71.97

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwade@alpineeyecare.ecldirect.net

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

• Alpine Eye Care, PC

  • Ophthalmology Physician
  • Gaylord, MI
  • NPI 1215065727

  Optometrist

  Medicare reassignment Care Compare group NPD
• Jeffrey K Chaulk MD PC

  • Ophthalmology Physician
  • Cheboygan, MI
  • NPI 1902093701

  Optometrist

  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1306255187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345665",
            "telephone_number": "989-732-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W NORTH ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351525",
            "telephone_number": "989-732-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwade@alpineeyecare.direct.medflow.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 W North St",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497351525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Visions Home Health Care Agency Northwest, Inc
• Kari Martha Visser-Robel, O.D.
• Vital Care Home Medical Equip Inc
• Jenny L Vittitow
• Heidi Vogel, CMT
• Lindsay Lorin Wade, O.D
• Stacey Jane Wakeley, LMSW
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Dan Walter Walchak I, D.D.S.

• Optometrist in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.