Warren Paul Wise

Primary specialty

OptometristTaxonomy code 152W00000X

License

1051 Issued in SC

Practice address

1270 Ribaut Rd
Beaufort, SC 29902-6143

Phone

(843) 525-9473

Fax

(843) 525-1108

NPI assigned

Mar 15, 2006

Last updated

Dec 2, 2010By 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 SC

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

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 Vision Care, LLC

  • Optometrist
  • Beaufort, SC
  • NPI 1710172176
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1417926122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026143",
            "telephone_number": "843-525-9473",
            "fax_number": "843-525-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026143",
            "telephone_number": "843-525-9473",
            "fax_number": "843-525-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "WARREN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Winters, PHARMD
• Wise Vision Care, LLC
• Edward M Wise Sr., D.M.D.
• Farah R Wise
• Ronald S Wise, MD
• Monica F. Wiser, M.A., CCC-A
• Dominika Sara Wisniewska, DMD
• Richard Herman Woerndle, DO
• Karen Konomi Wolf, DMD
• Suzanne Wolf, FNP RN MSN

• Optometrist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.