Mark Wade, O.D

NPI 1376512137 · on the registry since 2006

Practice

Address: 12601 Olive Blvd
Saint Louis, MO 63141
Phone: (314) 336-4690
Fax: (800) 432-6004
Organisation at this address: Nucrown, Llc
Allan E. Kolker, M.D. Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Optometrist
Licence states on file: MO, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri