Gary L. Wade, O.d., INC

NPI #1912100215 in Moore, Oklahoma

Provider Information

NPI Number: 1912100215
Entity Type: Organization
Organization Name: Gary L. Wade, O.d., INC
Primary Specialty: Optometrist
Enumeration Date: Jun 6, 2007
Last Updated: Aug 30, 2012

Practice Location

Address: 306 SE 4TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-6707
Phone: (405) 794-2020

Authorized Official

Name: DR. GARY LEE WADE, O.D.
Title: PRESIDENT
Phone: (405) 794-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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