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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WADE ROGER DEMORDAUNT, O.D.

Active

DR. WADE ROGER DEMORDAUNT, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in REXBURG, Idaho. NPI 1275591711 is currently active in the NPPES registry. Verify at CMS.

Corneal & Contact Management Optometrist · REXBURG, ID

Registration Details

NPI Number
1275591711
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2006 (20.257964196542 yrs)
Last Updated
Feb 1, 2016
Licenses
ODP-959 (ID)
351670-9934 (UT)
1853 (AZ)
14349 (CA)

Practice Information

Address
1450 N 2ND E
REXBURG, ID, 834405131
Browse ID providers · Browse ZIP 83440
Phone
2084976406
Fax
2083593007
Primary Specialty
Corneal & Contact Management Optometrist
152WC0802X
Additional Specialty
Optometrist

Other Corneal & Contact Management Optometrist Providers in REXBURG, ID

Name Credential NPI
DR. DOUGLASS EUGENE HANSON OPTOMETRIST 1225178593
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.