Jennifer Suzanne Wade in Goshen - Optometrist
Jennifer Suzanne Wade - NPI 1174622856
Jennifer Suzanne Wade is a Optometrist in Goshen, Indiana. Jennifer Suzanne Wade practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jennifer Suzanne Wade is 1174622856. The last update date is 2017-03-23.
Jennifer Suzanne Wade's current location address is 4024 Elkhart Rd, Goshen, Indiana. You can contact this provider via phone number 5742739233. The mailing address for Jennifer Suzanne Wade is 4024 Elkhart Rd, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Suzanne Wade |
|---|---|
| Address | 4024 Elkhart Rd, Goshen, Indiana |
| Phone Number | 5742739233 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1174622856 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2017-03-23 |
Provider Mailing Address Detail
| Address | 4024 Elkhart Rd |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465265803 |
| Phone Number | 5742739233 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002937 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identification code assigned to Jennifer Suzanne Wade by the Centers for Medicare & Medicaid Services?
The Jennifer Suzanne Wade has been issued the NPI (National Provider Identifier) 1174622856. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Suzanne Wade's physical address?
The Jennifer Suzanne Wade is physically located at 4024 Elkhart Rd, in the city of Goshen, IN, with the postal code 465265803.
What is the area of specialization for Jennifer Suzanne Wade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Suzanne Wade is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174622856 to Jennifer Suzanne Wade?
The Centers for Medicare & Medicaid Services assigned the 1174622856 to Jennifer Suzanne Wade on 2006-09-21.
As of what date were the Jennifer Suzanne Wade's details last updated?
The information pertaining to the Jennifer Suzanne Wade, including its address, specialty, and other details, was most recently updated on 2017-03-23.