Lindsay Lorin Wade, O.D
Optometrist in Gaylord, MI. Individual provider (NPI-1).
NPI number1407296296
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1407296296
- Entity type
- Individual (NPI-1)
- Name
- Lindsay Lorin Wade
- Credential
- O.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2013
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004765 | MI | Yes |
Other names
- Lindsay Lorin Reder (Former Name)
Practice location
1407 W Main StGaylord, MI 49735-6901
Phone 989-217-3075 · Fax 989-217-3003
Mailing address
3818 Diebold Ranch RdWest Branch, MI 48661-9671
Phone 989-295-3222
Other practice locations
304 W Houghton Ave
West Branch, MI 48661-1222
West Branch, MI 48661-1222
Phone 989-345-2020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Optometrist providers in Gaylord · All 714 providers in Gaylord
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