Robert A Wade, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1056-OD Issued in WV

Practice address

3101 E Cumberland Rd
Bluefield, WV 24701-4960

Phone

(304) 325-3603

Fax

(304) 325-3605

NPI assigned

Apr 28, 2009

Last updated

Oct 18, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• C. Houston Teaters, OD, PC

  • Optometrist
  • Fairlawn, VA
  • NPI 1578668570
  NPD

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1922242403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 E CUMBERLAND RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014960",
            "telephone_number": "304-325-3603",
            "fax_number": "304-325-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 E CUMBERLAND RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014960",
            "telephone_number": "304-325-3603",
            "fax_number": "304-325-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1056-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Vardan, MD
• Milagros Mercedes Vidot, M.D.
• Vijaykumar R Phade MD PC
• Brandon Scott Vincent, PRSS
• Virginias Dermatology, Inc.
• Walgreen Co (Walgreens #17496)
• Walgreen Co. (Walgreens #17496)
• Chastity Leigh Walker, FNP-BC
• Kimberly Kay Waller-Brown, D.D.S.
• Stephen Ward, M.D.

• Optometrist in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.