WISE FOOTWEAR, LLC (NPI# 1699965780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699965780 |
| Entity Type | Organization |
| Organization Name | WISE FOOTWEAR, LLC |
| Practice Address |
1008 Bellefontaine Ave Lima OH 45804 |
| Mailing Address |
Po Box 569 Lima OH 45802-0569 |
| Practice Telephone | 4192361367 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | MR. KIRK R WISE (OWNER) |
| Authorized Official Telephone | 4192361367 |
| Authorized Official Credential | LPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OH | Suppliers |
| Street Address |
1008 BELLEFONTAINE AVE |
| City | LIMA |
| State | OH |
| Zip Code | 45804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1831349786 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 3230 West Elm Street, Lima, OH 45805-2519 | 2008-09-29 |
| 1114189826 | R-ville, Inc. | Durable Medical Equipment & Medical Supplies | 2185 N West St, Lima, OH 45801-2002 | 2008-06-25 |
| 1073666293 | Tosen, Inc. | Durable Medical Equipment & Medical Supplies | 311 E Market St, Suite 204, Lima, OH 45801-4535 | 2007-01-19 |
| 1902961709 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3298 Elida Rd, Lima, OH 45805-1220 | 2006-12-22 |
| 1104998848 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1054 Bellefontaine Ave Ste B, Lima, OH 45804-1869 | 2006-11-15 |
| 1902981020 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1216 W Robb Ave, Lima, OH 45801-2406 | 2006-10-26 |
| 1912018003 | Lane Drug Co | Durable Medical Equipment & Medical Supplies | 302 West Robb Avenue, Lima, OH 45801-2745 | 2006-08-31 |
| 1043329329 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 3710 Shawnee Rd, Lima, OH 45806-1619 | 2006-08-30 |
| 1205945540 | Lane Drug Co | Durable Medical Equipment & Medical Supplies | 506 West Market Street, Lima, OH 45801-4718 | 2006-08-30 |
| Find all providers in LIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.