Timothy Charles Wise, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1181 Issued in TN

Practice address

1285 Dolly Parton Pkwy
Sevierville, TN 37862-3705

Phone

(865) 453-3619

Fax

(865) 428-5168

NPI assigned

Jul 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN2 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

Southern College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Charles Wise II, O.D.

  • Optometrist
  • Sevierville, TN
  • NPI 1487004693
  Medicare reassignment

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.

• Eye Care Associates of Sevier County

  • Optometrist
  • Sevierville, TN
  • NPI 1457545139
  NPD (past)
• Timothy C. Wise, O.D.

  • Optometrist
  • Sevierville, TN
  • NPI 1821542986
  NPD (past)
• Timothy C. Wise, OD

  • Eyewear Supplier
  • Sevierville, TN
  • NPI 1699952770
  NPD (past)
• Wise Vision Care, PLLC

  • Optometrist
  • Sevierville, TN
  • NPI 1356233746
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1417979816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 DOLLY PARTON PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623705",
            "telephone_number": "865-453-3619",
            "fax_number": "865-428-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 DOLLY PARTON PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623705",
            "telephone_number": "865-453-3619",
            "fax_number": "865-428-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4148974",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35966431",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Susan Williams
• Kyle Walker Williamson
• Justin Patrick Willson, DDS
• Ginny Winters
• Wise Vision Care, PLLC
• Timothy Charles Wise II, O.D.
• Matthew Hal Wolfenbarger
• Emily L Worsham, FNP
• Jesi Briona Wright, APRN, FNP-C
• Pamela F Wright, MSN, FNP-BC

• Optometrist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.