Adriana G. Wiseman, O.D., P.C. – Optometrist

Key facts

NPI: 1740690684
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
License: TA988 (MD)
Legal business name: ADRIANA G. WISEMAN, O.D., P.C.
Practice address: 5621 Grove St
Chevy Chase, MD 20815-3420
Phone: (301) 529-9629
NPI assigned: Apr 30, 2014
Organization subpart: No

Authorized official

Name: Dr. Adriana Wiseman, O.D. NPI 1982817151
Title: President/Optometrist
Phone: (301) 529-9629

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Adriana Silvia Wiseman, O.D. Low Vision Rehabilitation Optometrist · Fort Belvoir, VA · NPI 1982817151

Medicare reassignment NPD Authorized official DC · OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20141001001035	DC	Part B Supplier - Clinic/Group Practice	4486874104	Receives reassigned benefits from 1 practitioner Practice locations: Chevy Chase, MD

National Provider Directory

Locations

3701 Rossmoor Blvd
Silver Spring, MD 20906
Phone (240) 203-9333

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152W00000X	TA988	MD	Yes
Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152W00000X	0601001497	VA
Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152W00000X	OP1000262	DC
Low Vision Rehabilitation Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152WL0500X	TA988	MD
Low Vision Rehabilitation Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152WL0500X	0601001497	VA
Low Vision Rehabilitation Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152WL0500X	OP1000262	DC

Addresses

Primary practice location

5621 Grove St
Chevy Chase, MD 20815-3420

Mailing address

5621 Grove St
Chevy Chase, MD 20815-3420

Other names

New Vision Optometry Doing business as

Other providers in Chevy Chase, MD

All providers in Chevy Chase, MD · Optometrist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.