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DR. TERESA ANN WISE OD
NPI 1114076288
Optometrist in Elizabethtown, KY

Active since January 09, 2007
2904 DOLPHIN DR, ELIZABETHTOWN, KY 42701(270) 769-3708(270) 765-2043 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Teresa Ann Wise Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERESA ANN WISE OD (NPI 1114076288) is an individual optometrist in Elizabethtown, Kentucky, licensed in Kentucky (1156DT) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114076288
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TERESA ANN WISECredential: OD
Location Address2904 DOLPHIN DRElizabethtown, KY 42701-7102
Mailing Address2904 Dolphin DrElizabethtown, KY 42701 · (270) 769-3708 · Fax (270) 765-2043
Phone(270) 769-3708
Fax(270) 765-2043
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1114076288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1156DT
Definition
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.
2904 DOLPHIN DR, Elizabethtown, KY 42701
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Other Identifiers 6

Medicare PIN9341001KY
Medicare ID-Type Unspecified9341001KY
Medicaid77-0011567KY
Medicare NSC1031470001KY
Medicare UPINT92116KY
Medicaid770011567KY

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
43 services43 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
24 services24 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA A. WISE, O.D., P.S.C.
Optometrist
2904 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-3708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Wise's NPI number?

The NPI number for Teresa Wise is 1114076288. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Teresa Wise located?

Teresa Wise practices at 2904 Dolphin Dr, Elizabethtown, KY 42701. The listed phone number is (270) 769-3708.

What is Teresa Wise's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Teresa Wise was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.