Teresa A. Wise, O.d., P.s.c.

NPI #1063676443 in Elizabethtown, Kentucky

Provider Information

NPI Number
1063676443
Entity Type
Organization
Organization Name
Teresa A. Wise, O.d., P.s.c.
Primary Specialty
Optometrist
Enumeration Date
Jul 15, 2008
Last Updated
Jul 15, 2008

Practice Location

Address
2904 DOLPHIN DR
ZIP Code
42701-7102
Phone
(270) 769-3708

Authorized Official

Name
TERESA ANN WISE, O.D.
Title
PRESIDENT
Phone
(270) 769-3708

Specialties & Taxonomy Codes

Specialty
Optometrist

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