Lindsay Lorin Wade, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004765 Issued in MI

Practice address

1407 W Main St
Gaylord, MI 49735-6901

Phone

(989) 217-3075

Fax

(989) 217-3003

NPI assigned

Jun 26, 2013

Sex

Female

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 1

Other names 1

• Lindsay Lorin Reder Former name

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dean and Aubry Optometrists PCGroup PAC ID 5395874713, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.6 of 100Reported as group

Quality

79.79

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dean & Aubry Optometrists PC

  • Optometrist
  • Grayling, MI
  • NPI 1891701157

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• Great Lakes Eye Consultants PLC

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1164552972
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407296296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 DIEBOLD RANCH RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619671",
            "telephone_number": "989-295-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497356901",
            "telephone_number": "989-217-3075",
            "fax_number": "989-217-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Houghton Ave",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486611222",
            "country_code": "US",
            "telephone_number": "989-345-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "LINDSAY",
        "middle_name": "LORIN",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407296296",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "REDER",
            "middle_name": "LORIN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• All providers in Gaylord, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.