PHILLIP LEE WISE O.D.
NPI 1558344705
Optometrist in Selinsgrove, PA

Active since November 22, 2005
326 N BROAD ST, SELINSGROVE, PA 17870(570) 374-8136(570) 374-0462 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Phillip Lee Wise O.d. NPPES

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

PHILLIP LEE WISE O.D. (NPI 1558344705) is an individual optometrist in Selinsgrove, Pennsylvania, licensed in Pennsylvania (OEG001746) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1558344705
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePHILLIP LEE WISECredential: O.D.
Location Address326 N BROAD STSelinsgrove, PA 17870-1512
Mailing Address326 N Broad StSelinsgrove, PA 17870-1512 · (570) 374-8136 · Fax (570) 374-0462
Fax(570) 374-0462
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateApril 17, 2008
✔ NPI 1558344705 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 PA · OEG001746
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.
326 N BROAD ST, Selinsgrove, PA 17870

Other Identifiers 6

Medicare PIN109110F8VPA
Medicare UPINT28746PA
Medicaid0012999200001PA
Medicare NSC0175280001PA
Other02549200PA · Capital Blue Cross
OtherT28746PA · Health Assurance

Other Providers at the Same Location NPPES

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

Optometrist
326 N BROAD ST
SELINSGROVE, PA 17870

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 Phillip Wise's NPI number?

The NPI number for Phillip Wise is 1558344705. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Phillip Wise located?

Phillip Wise practices at 326 N Broad St, Selinsgrove, PA 17870. The listed phone number is (570) 374-8136.

What is Phillip 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 Phillip Wise was last updated on April 17, 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.