Timothy C. Wise, OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

ODT1181 Issued in TN

Legal business name

TIMOTHY C. WISE, OD

Practice address

1285 Dolly Parton Pkwy
Sevierville, TN 37862-3705

Phone

(865) 453-3619

Fax

(865) 428-5168

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jayne Hutsell Wise

Title

Office Manager

Phone

(865) 453-3619

Specialties & licenses 1

Addresses

Tax ID family

Timothy C Wise OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timothy C. Wise, O.D.

  • Optometrist
  • Sevierville, TN
  • NPI 1821542986
  NPD tax ID

Practitioners 1

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

• Timothy Charles Wise, OD

  • Optometrist
  • Sevierville, TN
  • NPI 1417979816
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1699952770",
    "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": {
        "organization_name": "TIMOTHY C. WISE, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "HUTSELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-453-3619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "ODT1181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Annette Thacker, SLP
• Stacy Thompson, PH.D.
• Amanda Jeanette Thore, FNP-BC
• Keith Thornton, D.C.
• Timothy C. Wise, O.D.
• Edmund Joseph Timpano, MD
• Mary Tinker, BS
• Brooke Todora, INTERN
• Vincent B Tolley, MD
• Sean Toomey, DDS

• Eyewear Supplier in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.