Stephen Hebert Wise, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00640 Issued in RI

Practice address

940 Belmont St
Brockton, MA 02301-5596

Phone

(508) 583-4500

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

New England College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20/20 Vision Care, Inc.Group PAC ID 0547210452, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 20/20 Vision Care, Inc.

  • Optometrist
  • Bristol, RI
  • NPI 1700991932
  Medicare reassignment Care Compare group NPD
• Jewell Eye Inc

  • Optometrist
  • Marlboro, MA
  • NPI 1760663298
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1346760436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RUNNING STREAM RD",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027691327",
            "telephone_number": "318-268-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015596",
            "telephone_number": "508-583-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "STEPHEN",
        "middle_name": "HEBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel David Winkler, DMD
• Janay Winston
• Angelique Wint
• Scott Winters, MED
• Deirdre Elaine Wise-Brown, M.S.
• William S Wise, MD
• Kristin E Wisgirda, LIC. AC.
• Donald Leigh Witherell Jr.
• Kimberly Witkowski, OTR/L
• Matthew Dylan Woertz, MD

• Optometrist in Brockton, MA
• Providers in Brockton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.