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

WADE NOOLEEN, ABOC NCLC

Active Sole Proprietor

WADE NOOLEEN, ABOC NCLC is a Optician, Dispensing healthcare provider located in SAINT PAUL, Minnesota. NPI 1619472545 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SAINT PAUL, MN

Registration Details

NPI Number
1619472545
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2018 (8.4130923279233 yrs)
Last Updated
Mar 23, 2018
License
085567 (MN)
Sole Proprietor
Yes

Practice Information

Address
153 CESAR CHAVEZ ST
SAINT PAUL, MN, 551072226
Browse MN providers · Browse ZIP 55107
Phone
6513892470
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in SAINT PAUL, MN

Name Credential NPI
TERI RACHEL FOCHT ABOC 1831361302
JAMES EDWARD JOHNSON 1386883254
MR. MARSHALL ALLAN DALY 1851712384
CODY MACKENZIE ABOC 1679257398
GABRIELLE FECKERS 1467332544
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.