DR. TERESA ANN WISE OD NPI 1114076288

NPI Information

  • NPI: 1114076288
  • Provider Name: DR. TERESA ANN WISE, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 2904 DOLPHIN DR
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 769-3708

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NPI Details

DR. Teresa Ann Wise, OD is an optometrist in Elizabethtown, KY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Teresa Ann Wise, OD NPI is 1114076288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2904 DOLPHIN DR
ELIZABETHTOWN, KY
ZIP 42701-102
Phone: (270) 769-3708
Fax: (270) 765-2043

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient complete exam of visual system (HCPCS:92004)

The enumeration date for this NPI number is 1/9/2007 and was last updated on 5/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist1156DTKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19341001MEDICARE PINKENTUCKY
29341001MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
377-0011567MEDICAIDKENTUCKY
41031470001MEDICARE NSCKENTUCKY
5T92116MEDICARE UPINKENTUCKY
6770011567MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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