Wise Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1051 Issued in SC

Legal business name

WISE VISION CARE, LLC

Practice address

1270 Ribaut Rd
Beaufort, SC 29902-6143

Phone

(843) 525-9473

Fax

(843) 525-1108

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Warren Paul WiseNPI 1417926122

Title

OD

Phone

(843) 525-9473

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Warren Paul Wise

  • Optometrist
  • Beaufort, SC
  • NPI 1417926122
  Medicare reassignment NPD Authorized official
• Farah R Wise

  • Corneal and Contact Management Optometrist
  • Beaufort, SC
  • NPI 1851350201
  Medicare reassignment NPD

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1710172176",
    "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": {
        "organization_name": "WISE VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "843-525-9473",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1051",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alkesha Dorberta Williamson
• Addison Graves Wilson Jr., MD
• Ashley E Wilson, LPC, LCPC
• Candida Wiltshire, LCSW, LISW-CP
• Kelly Winters, PHARMD
• Edward M Wise Sr., D.M.D.
• Farah R Wise
• Ronald S Wise, MD
• Warren Paul Wise
• Monica F. Wiser, M.A., CCC-A

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.