Ronnie D. Wade is a Optometrist in South Bend, Indiana. Ronnie D. Wade practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ronnie D. Wade is 1619953478. The last update date is 2014-01-03.
Ronnie D. Wade's current location address is 810 E Colfax Ave, South Bend, Indiana. You can contact this provider via phone number 5742873333 and fax number 5742879999. The mailing address for Ronnie D. Wade is 810 E Colfax Ave, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronnie D. Wade |
|---|---|
| Address | 810 E Colfax Ave, South Bend, Indiana |
| Phone Number | 5742873333 |
| Fax Number | 5742879999 |
| Sole Proprietor | Y |
| Credentials | O. D. |
NPI Number Detail
| NPI Number | 1619953478 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2014-01-03 |
Provider Mailing Address Detail
| Address | 810 E Colfax Ave |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172804 |
| Phone Number | 5742873333 |
| Fax Number | 5742879999 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18001454AB |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100279980A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ronnie D. Wade by the Centers for Medicare & Medicaid Services?
The Ronnie D. Wade has been issued the NPI (National Provider Identifier) 1619953478. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ronnie D. Wade?
The Ronnie D. Wade is situated at 810 E Colfax Ave, in the city of South Bend, state of IN, with the zip code 466172804.
What is Ronnie D. Wade's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ronnie D. Wade is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619953478 to Ronnie D. Wade?
The Ronnie D. Wade received its 1619953478 assignment from the Centers for Medicare & Medicaid Services on 2005-12-22.
As of what date were the details related to Ronnie D. Wade most recently updated or revised?
The information pertaining to Ronnie D. Wade, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-03.