NPI 1114076288
Teresa Ann Wise, OD
Practice location
- Address
- 2904 Dolphin Dr, Elizabethtown, KY 42701-7102
- Phone
- (270) 769-3708
- Fax
- (270) 765-2043
- Mailing address
- 2904 Dolphin Dr, Elizabethtown, KY 42701
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1114076288
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jan 2007
- Record last updated
- 13 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.