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

Dr. Wade Roger Demordaunt, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1275591711

Dr. Wade Roger Demordaunt, OD is an Optometry in Rexburg, Idaho. Graduated from Illinois College of Optometry at Chicago in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Arizona, California, Idaho and Utah.

Years since qualifying
30
Trained at
Illinois College of Optometry at Chicago
Licensed in
AZ, CA, ID, UT
In the registry since
2006
Specialties on file
4
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

1450 N 2nd E
Rexburg, ID 83440-5131
Phone: (208) 497-6406
Fax: (208) 359-3007
Show map & directions

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

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence ODP-959 (ID)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 351670-9934 (UT)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 1853 (AZ)
Optometrist Taxonomy 152W00000X · Licence 14349 (CA)

Record details

NPI number1275591711
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESFebruary 1, 2016

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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