Organization Active NPI

Ronald E Wise MD PC

Doing business as The Wise Vision Group

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1467405928
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RONALD E WISE MD PC
Doing business as
The Wise Vision Group
Practice address
1435 Wazee St
#101
Denver, CO 80202-1491
Phone
(303) 299-9473
Fax
(303) 299-9472
NPI assigned
May 18, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Ronald E Wise, M.D.NPI 1386636843
Title
Owner
Phone
(303) 299-9473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1435 Wazee St
#101
Denver, CO 80202-1491

Mailing address

1435 Wazee St
# 101
Denver, CO 80202-1491
Phone (303) 299-9473

Other identifiers 5

IdentifierTypeStateIssuer
020591OtherCOEYESPECIALISTS LOCATION #
DF6087OtherCORR MEDICARE GROUP #
110359756OtherCODENVER RETAIL SALES LICEN
90074084MedicaidCO
RWO12401OtherANTHEM BS

Other names 1

  • The Wise Vision Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1467405928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WAZEE ST",
            "address_2": "# 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021491",
            "telephone_number": "303-299-9473",
            "fax_number": "303-299-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 WAZEE ST",
            "address_2": "#101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021491",
            "telephone_number": "303-299-9473",
            "fax_number": "303-299-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E WISE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-299-9473",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYESPECIALISTS LOCATION #",
            "identifier": "020591",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DF6087",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENVER RETAIL SALES LICEN",
            "identifier": "110359756",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90074084",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "RWO12401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wise Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.