DR. TERESA WISE, OD
Optometrist
Active
Individual
NPI: 1114076288
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 1156DT (KY) |
Frequently Asked Questions
NPI 1114076288 is the National Provider Identifier for DR. TERESA WISE, OD, a Optometrist provider located in Elizabethtown, KY. This NPI was enumerated on January 9, 2007.
DR. TERESA WISE, OD practices at 2904 DOLPHIN DR, Elizabethtown, KY 42701.
Quick Facts
- NPI
- 1114076288
- Type
- Individual
- Enumerated
- Jan 9, 2007
- Last Updated
- May 13, 2008
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