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Teresa Wise, OD
NPI 1114076288 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2904 Dolphin Dr
Elizabethtown, KY 42701 - Phone
- (270) 769-3708
- Fax
- (270) 765-2043
- Organisation at this address
- Teresa A. Wise, O.D., P.S.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky