DR. J KEITH WADE (NPI# 1295850410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295850410 |
| Entity Type | Individual |
| Full Name | DR. J KEITH WADE |
| Credential | OD |
| Practice Address |
405 Locust Ave Fairmont WV 26554-4717 |
| Practice Telephone | 3043662020 |
| Practice Fax Number | 3043670863 |
| Mailing Telephone | 3043662020 |
| Mailing Fax Number | 3043670863 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 729OD | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0150700000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608065 | J Mark Wade | Dentist | 790 Grant Rd, East Wenatchee, WA 98802-5429 | 2006-07-27 |
| Street Address |
405 LOCUST AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629620802 | Myeyedr Optometry of West Virginia, Pllc | Optometrist | 405 Locust Ave, Fairmont, WV 26554-4717 | 2019-07-09 |
| 1477753838 | Laughlin and Wade, Optometrists | Optometrist | 405 Locust Ave, Fairmont, WV 26554-4717 | 2007-07-23 |
| 1336264654 | C David Laughlin | Optometrist | 405 Locust Ave, Fairmont, WV 26554-4717 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345067 | Spencer Seibert | Optometrist | 1307 Albion Ave Ste 102, Fairmont, MN 56031-1850 | 2017-06-05 |
| 1568720415 | Kelli Mccartney O.d. PC | Optometrist | 1476 Lawrence St, Fairmont, WV 26554-2355 | 2012-04-30 |
| 1477677714 | Tekavec Inc. | Optometrist | 2690 White Hall Blvd, Fairmont, WV 26554-8226 | 2007-03-19 |
| 1093874364 | Javen D. Holm Od Pa | Optometrist | 1210 East Blue Earth Avenue, Fairmont, MN 56031-4441 | 2006-12-06 |
| 1255416137 | Vision Health Care, Inc. | Optometrist | 717 Fairmont Ave, Fairmont, WV 26554-5135 | 2006-10-26 |
| 1578648572 | Carrie Jo Fick | Optometrist | 32 Tygart Mall Rd, Inside Walmart, Fairmont, WV 26554 | 2006-10-26 |
| 1962513176 | Fabian Jean Buckley | Optometrist | 1250 Goemann Rd, Fairmont, MN 56031-4659 | 2006-08-31 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1114901733 | Robert Friese | Optometrist | Po Box 800, Fairmont, MN 56031-0800 | 2005-12-06 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.