Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark D. Wade, OD

Individual provider Optometrist · NPI 1376512137

Dr. Mark D. Wade, OD is an Optometry in Saint Louis, Missouri. Graduated from Illinois College of Optometry at Chicago in 1991, 35 years ago. Practices with Nucrown, LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
35
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

12601 Olive Blvd
Saint Louis, MO 63141-6313
Phone: (314) 336-4690
Fax: (800) 432-6004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T02999 (MO)
Optometrist Taxonomy 152W00000X · Licence 046-008455 (IL)

Record details

NPI number1376512137
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 15, 2006
Last updated in NPPESDecember 19, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1991 (35 years in practice)
Group practice Nucrown, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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