Pamela M Wise is a Optometrist in Mishawaka, Indiana. Pamela M Wise practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Pamela M Wise is 1700863321. The last update date is 2013-03-21.
Pamela M Wise's current location address is 230 E Day Rd, Mishawaka, Indiana. You can contact this provider via phone number 5742713939 and fax number 5742713941. The mailing address for Pamela M Wise is 230 E Day Rd, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela M Wise |
|---|---|
| Address | 230 E Day Rd, Mishawaka, Indiana |
| Phone Number | 5742713939 |
| Fax Number | 5742713941 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1700863321 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 230 E Day Rd |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465453408 |
| Phone Number | 5742713939 |
| Fax Number | 5742713941 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002843A |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18002843A | IN | OPTOMETRIST LICENSE | |
| 200149240 | IN | -- | |
| P00014932 | IN | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pamela M Wise?
The Pamela M Wise has been issued the NPI (National Provider Identifier) 1700863321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pamela M Wise located?
The Pamela M Wise is located at 230 E Day Rd, Mishawaka, IN 465453408.
What is Pamela M Wise's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pamela M Wise's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When was the Pamela M Wise's 1700863321 issued?
The Pamela M Wise's 1700863321 was issued on 2005-12-23.
When was the information regarding Pamela M Wise most recently updated?
The details pertaining to the Pamela M Wise, including its address, specialty, and other relevant information, were last refreshed on 2013-03-21.