Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Mark D. Wade, O.D.
Optometrist in Saint Louis, MO · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1376512137
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Registry record
Entity type Individual (Type 1)
Name Dr. Mark D. Wade
Credential O.D.
Sex Male
Practice address 12601 Olive Blvd, Saint Louis, MO, 63141
Phone (314) 336-4690
Fax (800) 432-6004
Enumeration date Mar 15, 2006
Last updated in NPPES Dec 19, 2012
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313117905 | Medicaid | MO | - |
| 4210 | Other | MO | MISSOURI MEDICAID |
| 108459 | Other | - | BLUE CROSS BLUE SHIELD MO |
| 313117913 | Medicaid | MO | - |
| 22-01100 | Other | - | UNITED HEALTHCARE |
| 237550 | Other | - | HELATHLINK |
| 046008455 | Medicaid | IL | - |
| 222865 | Other | - | GROUP HEALTH PLAN |
| 116865 | Other | - | EYEMED |
| 12139 | Other | - | OPTICARE MEDICARE COMPLET |
| 410048083 | Other | IL | RR MEDICARE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Mark Wade?
Mark Wade is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Gregory Hill Ophthalmology Physician · Saint Louis, MO NPI 1700814225 Advanced Sight Center, Inc Ophthalmology Physician · Creve Coeur, MO NPI 1760404560 Allan E. Kolker, M.D. LLC. Ophthalmology Physician · Saint Louis, MO NPI 1689755209 Nu-Crown, LLC Optometrist · Creve Coeur, MO NPI 1336209766 Geoffrey Hill Ophthalmology Physician · Creve Coeur, MO NPI 1982918694 Nucrown, LLC Ophthalmology Physician · Saint Louis, MO NPI 1558768440
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-19.