IndividualActive
Ronnie Wade, O. D.
NPI 1619953478 · Optometrist · South Bend, IN
Provider details
- NPI number
- 1619953478
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O. D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18001454AB (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
810 E Colfax Ave
South Bend, IN 46617-2804
Phone: (574) 287-3333
Fax: (574) 287-9999
Street-level locationGet directions
Mailing address
810 E Colfax Ave
South Bend, IN 46617-2804
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2014-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.