Organization Active NPI

Kimberly M. Wise, M.D., P.C.

  • Ophthalmology Physician
  • Norman, OK
National Provider Identifier
1437184181
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19103 Issued in OK
Legal business name
KIMBERLY M. WISE, M.D., P.C.
Practice address
2201 McKown Dr
Norman, OK 73072-6601
Phone
(405) 329-5613
Fax
(405) 360-7747
NPI assigned
Jul 11, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dr. Kimberly Marie Wise, M.D.NPI 1710915178
Title
Physician/Owner
Phone
(405) 329-5613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19103 OK Primary

Addresses

Primary practice location

2201 McKown Dr
Norman, OK 73072-6601

Mailing address

2201 McKown Dr
Norman, OK 73072-6601
Phone (405) 329-5613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000259 OK Part B Supplier - Clinic/Group Practice 0244292084 Receives reassigned benefits from 5 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

2201 McKown Dr
Norman, OK 73072
Phone (405) 329-5613

2201 McKown Dr
Ste 1
Norman, OK 73072
Phone (405) 329-5613

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1437184181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MCKOWN DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726601",
            "telephone_number": "405-329-5613",
            "fax_number": "405-360-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MCKOWN DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726601",
            "telephone_number": "405-329-5613",
            "fax_number": "405-360-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M. WISE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-329-5613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "19103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.