Gary L. Wade, O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

939 Issued in OK

Legal business name

GARY L. WADE, O.D., INC

Practice address

306 SE 4TH St
Moore, OK 73160-6707

Phone

(405) 794-2020

Fax

(405) 794-3768

NPI assigned

Jun 6, 2007

Last updated

Aug 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Lee Wade, O.D.NPI 1245215524

Title

President

Phone

(405) 794-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Lee Wade, O.D.

  • Optometrist
  • Moore, OK
  • NPI 1245215524
  Authorized official Same address or phone
• Christopher B. Boaldin, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1861705931
  NPD (past)
• Jeffrey Lynn Pettigrew, O.D.

  • Optometrist
  • Norman, OK
  • NPI 1497894844
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1912100215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SE 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606707",
            "telephone_number": "405-794-2020",
            "fax_number": "405-794-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SE 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606707",
            "telephone_number": "405-794-2020",
            "fax_number": "405-794-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. WADE, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-794-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Mercedes Gamboa
• Nicole Rachelle Garber, APRN
• Stephen Werk Garder, DDS
• Miranda Gardner
• Jessica Renae Garrett
• Prosper Gasu
• Lindsay Marie Gavit, APRN-CNP, PMHNP-BC
• Caitlin C Geiger, FNP-C
• Christopher Gordon Geis, M.ED.
• Genesi LLC

• Optometrist in Moore, OK
• Providers in Moore, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.