Individual provider Active NPI

Kimberly Marie Wise, M.D.

  • Ophthalmology Physician
  • Norman, OK
National Provider Identifier
1710915178
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19103 Issued in OK
Practice address
2201 McKown Dr
Norman, OK 73072-6682
Phone
(405) 329-5613
Fax
(405) 360-7747
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

2201 McKown Dr
Norman, OK 73072-6682

Mailing address

2201 McKown Dr
Norman, OK 73072-6682
Phone (405) 329-5613

Other identifiers 1

IdentifierTypeStateIssuer
1437184181MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000481 OK Practitioner - Ophthalmology 7618939018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly M. Wise, M.D., P.C.Group PAC ID 0244292084, 4 clinicians

Practice addresses (Care Compare)

2201 McKown Dr
Suite 1
Norman, OK 73072-6602
Phone (405) 329-5613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
95.9
Improvement activities
40
Cost
76.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly M. Wise, M.D., P.C. Ophthalmology CurrentSince Dec 1, 2004 Accepting new patients
University Optical, Inc. CurrentSince May 24, 1993 Accepting new patients

Locations

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

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

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1710915178",
    "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": "730726682",
            "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": "730726682",
            "telephone_number": "405-329-5613",
            "fax_number": "405-360-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "19103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437184181",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.