Dr. Mark D. Wade

O.D. | Optometrist | 33+ years Exp


  
12601 Olive Blvd, Saint Louis
Missouri, 63141-6313

 314-336-4690     800-432-6004Maps & Directions
Dr. Mark D. Wade is a Saint Louis, Missouri based male Optometrist with 33 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark D. Wade is T02999 for Optometry in Missouri.
Dr. Mark D. Wade examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Mark D. Wade speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 33+ years
Medical School Attended:Illinois College Of Optometry At Chicago
Graduation Year:1991
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:12601 Olive Blvd, Saint Louis,
Missouri, 63141-6313
Phone:314-336-4690
Fax:800-432-6004
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8527043868
Enrollment ID: I20101105000548
NPI Number: 1376512137
NPI Enumeration Date: 15 Mar, 2006
NPI Last Update On: 19 Dec, 2012

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark D. Wade are as mentioned below.
License NumberSpecializationStateStatus
T02999Optometry MissouriPrimary
046-008455Optometry IllinoisSecondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Mark D. Wade has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Nucrown, Llc (1456256346)25
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark D. Wade such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
313117905MedicaidMissouri
4210OtherMissouriMISSOURI MEDICAID
108459OtherBLUE CROSS BLUE SHIELD MO
313117913MedicaidMissouri
22-01100OtherUNITED HEALTHCARE
237550OtherHELATHLINK
046008455MedicaidIllinois
222865OtherGROUP HEALTH PLAN
116865OtherEYEMED
12139OtherOPTICARE MEDICARE COMPLET
410048083OtherIllinoisRR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 211 E Broadway,
Alton, Illinois
Zip: 62002-6220
Phone Number: 314-336-4690
Fax Number: 800-432-6004
Patients can reach Dr. Mark D. Wade at 12601 Olive Blvd, Saint Louis, Missouri or can call to book an appointment on 314-336-4690. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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