Mark D. Wade O D P C
Mark D. Wade O D P C is an Optometrist in Alton, Illinois. Licensed in Missouri. Registered with an NPI since 2016.
- Licensed in
- MO
- In the registry since
- 2016
Practice location Address checks out
111 E 4th St Ste 440Alton, IL 62002-6206
Phone: (618) 462-9818
Fax: (314) 741-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence MO2999 (MO) |
|---|
Record details
| NPI number | 1275981698 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Wade — President · (618) 462-9818 |
| NPI enumerated | May 26, 2016 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 25, 2023 |
| Mailing address | 111 E 4th St Ste 440, Alton, IL 62002-6206 |
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