Individual
DR. STEVEN EDWARD WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1501 PINE LAKE RD, SUITE #1, LINCOLN, NE 68512-3692
(402) 421-7773
Mailing address
2408 JAMIE LN, LINCOLN, NE 68512-9431
(402) 435-3015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1123
NE
152WC0802X
Corneal and Contact Management Optometrist
1123
NE
152WS0006X
Sports Vision Optometrist
Primary
1123
NE
Other
Enumeration date
05/16/2006
Last updated
09/11/2025
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