WADE NOOLEEN (NPI# 1619472545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619472545 |
| Entity Type | Individual |
| Full Name | WADE NOOLEEN |
| Credential | ABOC NCLC |
| Practice Address |
153 Cesar Chavez St Saint Paul MN 55107-2226 |
| Mailing Address |
12810 Nicollet Ave Burnsville MN 55337-2814 |
| Practice Telephone | 6513892470 |
| Mailing Telephone | 9528958479 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
085567 | MN | Eye and Vision Services Providers |
| Street Address |
153 CESAR CHAVEZ ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820661 | Carrie S Dickson | Advanced Practice Midwife | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2005-06-10 |
| 1700493137 | Carolina Gentry | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2020-09-29 |
| 1740890334 | Quest Diagnostics | Clinical Medical Laboratory | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2020-08-07 |
| 1316589195 | Sara Saini Maki | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-10-13 |
| 1912556457 | Christine Jo Singer | Registered Nurse | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-09-07 |
| 1831745025 | Antionette Renee Estis | Advanced Practice Midwife | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-08-13 |
| 1467006700 | Faisa Hassan Abdi-omar | Midwife | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-25 |
| 1790338754 | Mikaela Pierson | Physician Assistant | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-18 |
| 1427519529 | Bright Smiles Dental Program | Clinic/Center | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-03-29 |
| 1275005464 | Eli Eggen | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2018-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1366819609 | Brittany Leach | Advanced Practice Midwife | 624 Smith Ave S, Saint Paul, MN 55107 | 2015-08-21 |
| 1003293101 | Huiying Guo | Family Medicine | 205 Wabasha St S, Saint Paul, MN 55107 | 2015-04-28 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851712384 | Marshall Allan Daly | Technician/Technologist | 2484 University Ave W, Saint Paul, MN 55114-1735 | 2013-12-31 |
| 1285937862 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1360 University Ave W Ste 106, Saint Paul, MN 55104-4092 | 2010-12-21 |
| 1831361302 | Teri Rachel Focht | Technician/Technologist | 944 Euclid St, Saint Paul, MN 55106-5615 | 2008-03-25 |
| 1003935867 | Grand Spectacle Inc | Technician/Technologist | 764 Grand Ave, Saint Paul, MN 55105-3306 | 2007-03-29 |
| 1043627466 | Grace Vision, Inc Dba Pearle Vision | Technician/Technologist | 3001 White Bear Ave N, Suite 1050, Saint Paul, MN 55109-1215 | 2014-07-17 |
| 1992937338 | Roseville Opticians | Technician/Technologist | 1790 Lexington Ave N, Saint Paul, MN 55113-6167 | 2009-08-19 |
| 1386883254 | James Edward Johnson | Technician/Technologist | 101 5th St E Ste 281, Saint Paul, MN 55101-1862 | 2009-02-16 |
| 1821171430 | Wal-mart Stores, Inc. | Technician/Technologist | 1644 Robert St S, Saint Paul, MN 55118-3918 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821558370 | National Vision Inc | Technician/Technologist | 8348 Highway 7, Saint Louis Park, MN 55426-3907 | 2019-03-21 |
| 1861937112 | Personality Eyewear | Technician/Technologist | 8257 Logan Ave N, Brooklyn Park, MN 55444-1545 | 2016-12-22 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1215316682 | National Vision, Inc. | Technician/Technologist | 12940 Riverdale Dr Nw, Ste 300, Coon Rapids, MN 55448-8412 | 2015-05-19 |
| 1619354156 | National Vision, Inc. | Technician/Technologist | 1727 Beam Ave, Ste D, Maplewood, MN 55109-1164 | 2015-05-05 |
| 1124437223 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6096 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2316 | 2014-08-04 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1174966683 | David Yang | Technician/Technologist | 987 Oday St S, Maplewood, MN 55119-5953 | 2013-04-15 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| 1639425952 | Optical Services Direct LLC | Technician/Technologist | 10524 Kimbro Ave S, Cottage Grove, MN 55016-4150 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
Please comment or provide details below to improve the information on WADE NOOLEEN.
| 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.