Valerie Wise, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1405 Issued in NC

Practice address

15 Jane Jacobs Rd Ste 103B
Black Mountain, NC 28711-6306

Phone

(828) 669-1191

Fax

(828) 669-6024

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wise Optometry Associates PAGroup PAC ID 5395170070, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wise Optometry Associates PA

  • Optometrist
  • Black Mountain, NC
  • NPI 1205471430

  NC, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Philip Dillon Gaskins, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1255399770

  NC

  Medicare reassignment
• Complete Eye Care OD PLLC

  • Optometrist
  • Belmont, NC
  • NPI 1114969706
  NPD (past)
• University Eye Associates OD, PA

  • Optometrist
  • Charlotte, NC
  • NPI 1831157866
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1740239276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JANE JACOBS RD STE 103B",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116306",
            "telephone_number": "828-669-1191",
            "fax_number": "828-669-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JANE JACOBS RD STE 103B",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116306",
            "telephone_number": "828-669-1191",
            "fax_number": "828-669-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280123370",
            "country_code": "US",
            "telephone_number": "704-825-9002",
            "fax_number": "704-825-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909997",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashaunna Williams
• Celeste G. Wiltse, M.D.
• Ronald Stuart Winchell, R.PH.
• Wise Optometry Associates PA
• Marcus Lawrence Wise, OD
• Kristen Clift Rohrer Wood, M.S., C.G.C.
• Saeri Lee Wren, PA-C

• All providers in Black Mountain, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.