WADE NOOLEEN ABOC NCLC NPI 1619472545

NPI Information

NPI: 1619472545
Provider Name: WADE NOOLEEN, ABOC NCLC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
153 CESAR CHAVEZ ST
SAINT PAUL, MN
ZIP 55107
Phone: (651) 389-2470
Get Directions

Wade Nooleen, ABOC NCLC is an optician technician technologist in Saint Paul, MN. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Wade Nooleen, ABOC NCLC NPI is 1619472545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

153 CESAR CHAVEZ ST
SAINT PAUL, MN
ZIP 55107-226
Phone: (651) 389-2470

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	085567	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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