DR. Jeffrey Scott Wade, O.D.

NPI #1134219447 in Granger, Indiana

Provider Information

NPI Number: 1134219447
Entity Type: Individual
Name: DR. Jeffrey Scott Wade, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 15, 2006
Last Updated: Apr 2, 2025

Practice Location

Address: 155 E UNIVERSITY DR
City: Granger
State: Indiana
ZIP Code: 46530-4474
Phone: (574) 243-7732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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