Mark D. Wade O D P C

NPI #1275981698 in Alton, Illinois

Provider Information

NPI Number: 1275981698
Entity Type: Organization
Organization Name: Mark D. Wade O D P C
Primary Specialty: Optometrist
Enumeration Date: May 26, 2016
Last Updated: Jul 25, 2023

Practice Location

Address: 111 E 4TH ST STE 440
City: Alton
State: Illinois
ZIP Code: 62002-6206
Phone: (618) 462-9818

Authorized Official

Name: MARK D. WADE, OD
Title: PRESIDENT
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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