Organization
TIMOTHY C. WISE, O.D.
Active
Other names
Wise Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE HUTSELL WISE (OFFICE MANAGER)
(865) 453-3619
Entity
Organization
Contact information
Practice address
1285 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3705
(865) 453-3619
(865) 428-5168
Mailing address
1285 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3705
(865) 453-3619
(865) 428-5168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021037
—
TN
Enumeration date
08/06/2016
Last updated
08/06/2016
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