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Deactivated NPI 1972695104 Deactivated / Inactive NPI Male Practitioner

Wade Thomas Durham , OPTICIAN

Technician/Technologist - Optician • Bushnell, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wade Durham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date July 22, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Wade Durham, OPTICIAN was a registered Technician/Technologist - Optician practicing in Bushnell, FL. Throughout an active medical career spanning 16 years, Wade Durham provided care at the practice location at 940 N MAIN ST until profile deactivation on 2022-07-22.

Practice Location & Contact Primary Location

Practice Address

940 N Main St

Bushnell, FL 335135008

Telephone 3525680442
Fax 3525682902
Associated Practice Facility / Clinic
🏢 Durham Optical, Inc Facility NPI 1770742777

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Bushnell, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bushnell, FL (686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License FL DO 1085

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 940 N MAIN ST, BUSHNELL, FL 335135008 (Tel: 3525680442)

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Updated Business Mailing Address July 09, 2007

Registered at 807 CRESTVIEW CIR N, WILDWOOD, FL 347853535 (Tel: 3523300226)

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Provider Name / Credentials Updated July 09, 2007

Recorded as WADE DURHAM, OPTICIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Technician/Technologist (License #DO 1085 in FL)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972695104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 09, 2007
Deactivation Date: July 22, 2022

Mailing Address

807 Crestview Cir N

Wildwood, FL 347853535

Phone: 3523300226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.