DR. RONNIE D. WADE O. D.
NPI 1619953478
Optometrist in South Bend, IN

Active since December 22, 2005
810 E COLFAX AVE, SOUTH BEND, IN 46617(574) 287-3333(574) 287-9999 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ronnie D. Wade O. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RONNIE D. WADE O. D. (NPI 1619953478) is an individual optometrist in South Bend, Indiana, licensed in Indiana (18001454AB) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1619953478
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RONNIE D. WADECredential: O. D.
Location Address810 E COLFAX AVESouth Bend, IN 46617-2804
Mailing Address810 E Colfax AveSouth Bend, IN 46617-2804 · (574) 287-3333 · Fax (574) 287-9999
Fax(574) 287-9999
Sole ProprietorYes
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 3, 2014
NPI 1619953478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18001454AB
Definition
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.
810 E COLFAX AVE, South Bend, IN 46617

Other Identifiers 4

Medicare UPINT35243IN
Medicare NSC4686020001IN
Medicaid100279980AIN
Medicare PIN202650IN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Corneal and Contact Management)
810 E COLFAX AVE
SOUTH BEND, IN 46617
Optometrist
810 E COLFAX AVE
SOUTH BEND, IN 46617
Optometrist
810 E COLFAX AVE
SOUTH BEND, IN 46617
Optometrist
810 E COLFAX AVE
SOUTH BEND, IN 46617
Optometrist
810 E COLFAX AVE
SOUTH BEND, IN 46617
Optometrist
810 E COLFAX AVE
SOUTH BEND, IN 46617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronnie Wade's NPI number?

The NPI number for Ronnie Wade is 1619953478. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Ronnie Wade located?

Ronnie Wade practices at 810 E Colfax Ave, South Bend, IN 46617. The listed phone number is (574) 287-3333.

What is Ronnie Wade's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Ronnie Wade was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.