Organization
RONALD E WISE MD PC
Active
Other names
The Wise Vision Group
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E WISE M.D. (OWNER)
(303) 299-9473
Entity
Organization
Contact information
Practice address
1435 WAZEE ST, #101, DENVER, CO 80202-1491
(303) 299-9473
(303) 299-9472
Mailing address
1435 WAZEE ST, # 101, DENVER, CO 80202-1491
(303) 299-9473
(303) 299-9472
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020591
EYESPECIALISTS LOCATION #
CO
01
—
110359756
DENVER RETAIL SALES LICEN
CO
05
—
90074084
—
CO
01
—
DF6087
RR MEDICARE GROUP #
CO
01
—
RWO12401
ANTHEM BS
—
Enumeration date
05/18/2006
Last updated
09/20/2011
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