Individual
BRET D WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
321 S HILLSIDE ST, WICHITA, KS 67211-2130
(316) 685-1898
(316) 685-4170
Mailing address
321 S HILLSIDE, WICHITA, KS 67211-2130
(316) 685-1898
(316) 685-4170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1831
KS
Other
Enumeration date
08/05/2008
Last updated
08/05/2015
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