NPI 1275981698

Mark D. Wade O D P C

Organisation Optometrist Alton, IL

Practice location

Address: 111 E 4th St STE 440, Alton, IL 62002-6206
Phone: (618) 462-9818
Fax: (314) 741-4947

Authorised official

Name: Mark D. Wade
Title: President
Phone: (618) 462-9818

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence MO2999 (MO)

Other Optometrist providers in Illinois →

Registry record

NPI: 1275981698
Entity type: Organization
NPI issued: 26 May 2016
Record last updated: 25 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.