Mark C Wade (NPI# 1104814631, PAC ID# 5890855415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104814631 |
| PAC ID by PECOS | 5890855415 |
| Professional Enrollment ID | I20081126000438 |
| Full Name | Mark C Wade |
| Organization Legal Name | BEAUDOIN AND WADE LLC |
| Address |
2600 W College Ave Suite 1 Appleton WI 54914-4200 |
| Phone Number | 9207359580 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5991865511 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2600 W College Ave, Suite 1, Appleton, WI 54914-4200 | 9207359580 | BEAUDOIN AND WADE LLC |
| Organization Legal Name | BEAUDOIN AND WADE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford A Beaudoin | Optometry | Beaudoin and Wade LLC | 2600 W College Ave, Suite 1, Appleton, WI 54914-4200 |
| Street Address |
2600 W COLLEGE AVE SUITE 1 |
| City | APPLETON |
| State | WI |
| Zip | 54914-4200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford A Beaudoin | Optometry | Beaudoin and Wade LLC | 2600 W College Ave, Suite 1, Appleton, WI 54914-4200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Jorgensen | Optometry | Jorgensen-schulz and Associates Eye Care Center Sc | 1225 W Northland Ave, Appleton, WI 54914-1416 |
| Robert Schulz | Optometry | Jorgensen-schulz and Associates Eye Care Center Sc | 1225 W Northland Ave, Appleton, WI 54914-1416 |
| Francie Laeyendecker | Optometry | Jorgensen-schulz and Associates Eye Care Center Sc | 1225 W Northland Ave, Appleton, WI 54914-1416 |
| Kathleen M Erdahl | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Nicole M Wolfgram | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Michael D Stevenson | Optometry | Shoptikal LLC | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Tara Hilmanowski | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Elizabeth L Kimbrough | General Practice | 3416 N Association Dr, Appleton, WI 54914-1479 | |
| James A Schiavo | Chiropractic | 2308 W Nordale Dr, Appleton, WI 54914-1887 | |
| Khristine R Otto | Chiropractic | 611 N Lynndale Dr, Suite 140, Appleton, WI 54914-3054 | |
| Find all physicians in zip 54914 | |||
| City | APPLETON |
| Zip Code | 54914 |
| Specialty | OPTOMETRY |
| City + Specialty | APPLETON + OPTOMETRY |
Please comment or provide details below to improve the information on Mark C Wade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.