Wade Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001454A&B Issued in IN

Legal business name

WADE EYE CARE INC

Practice address

810 E Colfax Ave
South Bend, IN 46617-2804

Phone

(574) 287-3333

Fax

(574) 287-9999

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald D Wade, OD

Title

Pres Owner OD

Phone

(574) 287-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1841337136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-287-3333",
            "fax_number": "574-287-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-287-3333",
            "fax_number": "574-287-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRES OWNER OD",
        "authorized_official_telephone_number": "574-287-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001454A&B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279980A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Germain Voor, ACSW, LCSW
• Ashly Voorde
• Maya Votapek
• Vpa PC
• Vpa PC
• Ronnie D. Wade, O. D.
• Lashawnda Wafford
• Jill Degler Waggoner, M.S.W.
• Andrea Wagner, RBT
• Sydney Wagner, MSW

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.