Teresa A. Wise, O.D., P.S.C.
NPI 1063676443ActiveOrganization· Optometrist· Elizabethtown, KY
Optometrist in Elizabethtown, Kentucky, registered in NPPES in July 2008. The authorized official on file is Teresa Ann Wise, O.D., President.
Overview
| NPI | 1063676443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2008 |
| Last updated in NPPES | Jul 15, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1156DT | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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