DR. SARAH WISE (NPI# 1780107607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780107607 |
| Entity Type | Individual |
| Full Name | DR. SARAH WISE |
| Credential | OD |
| Practice Address |
623 Atwells Ave Providence RI 02909-7403 |
| Practice Telephone | 4012737100 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | RI-ODTG00638 | RI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193122 | Sarah Wise | Counselor | 2869 Us-165, Bastrop, LA 71280 | 2020-04-24 |
| 1891124368 | Sarah Seavers Wise | Audiologist | 675 W North Ave Ste 110, Melrose Park, IL 60160-1629 | 2013-11-05 |
| 1477991701 | Sarah Bradshaw Wise | Social Worker | 14 Ipswich Rd, Boxford, MA 01921-1806 | 2013-06-09 |
| 1053348060 | Sarah K Wise | Otolaryngology | Emory Department of Otolaryngology, 1365a Clifton Road Ne, Suite A2300, Atlanta, GA 30322-0001 | 2006-06-26 |
| 1871030890 | Sarah Wise | Physical Therapist | 500 Philadelphia Ave, Shillington, PA 19607-2764 | 2017-01-28 |
| 1659740561 | Sarah Birchler Wise | Counselor | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2015-09-21 |
| 1669885323 | Sarah Wise | Social Worker | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2014-06-10 |
| 1871738856 | Sarah Liza Wise | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-12-05 |
| 1659532190 | Sarah Wise | Nurse's Aide | 115 Washington St, Oak Habor, OH 43449 | 2008-06-18 |
| 1548460751 | Sarah Tiffany Wise | Optometrist | 115 W Main St, Suite A, Trappe, PA 19426-2004 | 2007-07-25 |
| Street Address |
623 ATWELLS AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235230640 | Kim Marie Medeiros | Counselor | 623 Atwells Ave, Providence, RI 02909-7403 | 2006-09-26 |
| 1689287039 | Sara Hafeez | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2020-08-26 |
| 1144846478 | Brett Zerbinopoulos | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2020-06-23 |
| 1609438902 | Brittney Eileen Schieber | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2019-07-08 |
| 1578129078 | Hyder Jamal Almosawy | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2019-05-10 |
| 1881172419 | Justin Roberts | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-08-06 |
| 1811475536 | Zachary Gene Walburg | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-08-03 |
| 1366920084 | Joyce Nidal Rached | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-08-03 |
| 1407332166 | Julia Marie Gangloff | Audiologist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-07-16 |
| 1467805374 | Christopher Briody | Audiologist | 623 Atwells Ave, Providence, RI 02909-7403 | 2016-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396251740 | Mandalay Optical Labs, LLC | Optometrist | 905 Westminster St, Providence, RI 02903-4020 | 2017-12-21 |
| 1427464510 | Kriti Bhagat | Optometrist | 100 Highland Ave Ste 304, Providence, RI 02906-2753 | 2014-07-09 |
| 1073959151 | East Side Vision Care Inc | Optometrist | 213 Thayer St, Providence, RI 02906-1210 | 2013-05-16 |
| 1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
| 1588750194 | Leslie Kliethermes | Optometrist | 70 Providence Pl, Providence, RI 02903-1747 | 2006-10-04 |
| 1801981691 | James Lawrence Norton | Optometrist | 740 North Main Street, Providence, RI 02904 | 2006-10-04 |
| 1417067950 | David Alan Smith | Optometrist | 276 N. Springcreek Pkwy, Providence, UT 84332-9707 | 2006-08-30 |
| 1720095953 | John D Corrow | Optometrist | 780 North Main St., Providence, RI 02904 | 2006-08-01 |
| 1982637153 | Earle Ullman Scharff IIi | Optometrist | 55 Dorrance St, Providence, RI 02903-2221 | 2006-07-09 |
| 1205826997 | Paul A De Cesare | Optometrist | 354 Broadway, Providence, RI 02909 | 2005-10-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
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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.