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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TERESA ANN WISE, OD

Active Sole Proprietor

DR. TERESA ANN WISE, OD is a Optometrist healthcare provider located in ELIZABETHTOWN, Kentucky. NPI 1114076288 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ELIZABETHTOWN, KY

Registration Details

NPI Number
1114076288
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2007 (19.554297499866 yrs)
Last Updated
May 13, 2008
License
1156DT (KY)
Sole Proprietor
Yes

Practice Information

Address
2904 DOLPHIN DR
ELIZABETHTOWN, KY, 427017102
Browse KY providers · Browse ZIP 42701
Phone
2707693708
Fax
2707652043
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in ELIZABETHTOWN, KY

Name Credential NPI
DR. JAMES M CAMPBELL II O.D. 1700889441
KEVIN CRAWFORD OD 1194722819
DR. CRISTINA VILLANUEVA PATRICK OD 1417943580
RICHARD HENDERSON OD 1669537528
DALE SOULEYRETTE OD 1205991791
DR. MATTHEW D KREIN O.D. 1316250459
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.