Individual provider Active NPI

Farah R Wise

  • Corneal and Contact Management Optometrist
  • Beaufort, SC
National Provider Identifier
1851350201
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1031 Issued in SC
Practice address
1270 Ribaut Rd
Beaufort, SC 29902-6143
Phone
(843) 525-9473
Fax
(843) 525-1108
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1031 SC Primary

Addresses

Primary practice location

1270 Ribaut Rd
Beaufort, SC 29902-6143

Mailing address

1270 Ribaut Rd
Beaufort, SC 29902-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20100929001198 SC Practitioner - Optometry 2961528740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1270 Ribaut Rd
Beaufort, SC 29902-6143
Phone (843) 525-9473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1031SCMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Vision Care, LLC CurrentSince Oct 15, 2010 Accepting new patients
Wise Vision Care, PLLC Past Accepting new patients

Locations

1270 Ribaut Rd
Beaufort, SC 29902
Phone (843) 525-9473

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1851350201",
    "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"
        },
        {
            "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": {
        "last_name": "WISE",
        "first_name": "FARAH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "SC",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.