Timothy C. Wise, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1181 Issued in TN

Legal business name

TIMOTHY C. WISE, O.D.

Doing business as

Wise Eyecare

Practice address

1285 Dolly Parton Pkwy
Sevierville, TN 37862-3705

Phone

(865) 453-3619

Fax

(865) 428-5168

NPI assigned

Aug 6, 2016

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

Other identifiers 1

Other names 1

• Wise Eyecare Doing business as

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, OD

  • Eyewear Supplier
  • Sevierville, TN
  • NPI 1699952770
  NPD tax ID

Locations

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": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1821542986",
    "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, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "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": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021037",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tennessee Spine Wellness & Medical Group LLC
• Debra Annette Thacker, SLP
• Stacy Thompson, PH.D.
• Amanda Jeanette Thore, FNP-BC
• Keith Thornton, D.C.
• Timothy C. Wise, OD
• Edmund Joseph Timpano, MD
• Mary Tinker, BS
• Brooke Todora, INTERN
• Vincent B Tolley, MD

• Optometrist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.