Susan B. Wise, O.D., P.A.

LBN: Susan B. Wise, O.D., P.A.
Susan B. Wise, O.D., P.A. is an health care organization with primary practice located at 63 Chestnut St , Mars Hill NC 28754-7542. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Susan B. Wise, O.D., P.A. can be contacted via phone (828) 689-4206, or through Wise, Susan via phone (828) 689-4206.

Contact Information

Primary practice address
63 Chestnut St Mars Hill NC 28754-7542
Phone: (828) 689-4206
Fax: (828) 689-5007
Website:
Map and Directions
Authorized official contact:
Name: Wise, Susan Doctor of Optometry (OD)
Phone: (828) 689-4206

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1053337121
LBN Legal business name Susan B. Wise, O.D., P.A.
DBA Doing business as
Authorized official Wise, Susan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 9th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053337121 NPPES
North Carolina Other 1053337121 GROUP NPI
North Carolina Other 0261N GROUP NPI
North Carolina MEDICAID 5900858 GROUP NPI
North Carolina Other DE9589 GROUP NPI

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