Marcus Lawrence Wise, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2836 Issued in NC

Practice address

15 Jane Jacobs Rd Ste 103
Black Mountain, NC 28711-6307

Phone

(828) 669-1191

Fax

(828) 669-6024

NPI assigned

Jun 7, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NC

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 1

Specialty

Optometry

Education

Southern College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wise Optometry Associates PAGroup PAC ID 5395170070, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wise Optometry Associates PA

  • Optometrist
  • Black Mountain, NC
  • NPI 1205471430
  Medicare reassignment Care Compare group NPD
• Corte and Wruble, OD, PLLC

  dba Northlake Eye

  • Optometrist
  • Charlotte, NC
  • NPI 1821529249
  NPD (past)

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1407698889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JANE JACOBS RD STE 103",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116307",
            "telephone_number": "828-669-1191",
            "fax_number": "828-669-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JANE JACOBS RD STE 103",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116307",
            "telephone_number": "828-669-1191",
            "fax_number": "828-669-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MARCUS",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen Wilks, MAED LPC
• Lashaunna Williams
• Celeste G. Wiltse, M.D.
• Ronald Stuart Winchell, R.PH.
• Wise Optometry Associates PA
• Valerie Wise, OD
• Kristen Clift Rohrer Wood, M.S., C.G.C.
• Saeri Lee Wren, PA-C

• Optometrist in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.