KENT B WISE (NPI# 1922111269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922111269 |
| Entity Type | Individual |
| Full Name | KENT B WISE |
| Credential | OD |
| Practice Address |
1169 N Burleson Blvd Suite 131 Burleson TX 76028 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 8174266060 |
| Practice Fax Number | 8174262978 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4896T | TX | Eye and Vision Services Providers |
| Street Address |
1169 N BURLESON BLVD SUITE 131 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740319920 | Kent Wise Od Pa | Optometrist | 1169 N Burleson Blvd, Suite 131, Burleson, TX 76028 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| 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 |
|---|---|---|---|---|
| 1447800446 | Tavia Tho-kim Doan | Optometrist | 811 Ne Alsbury Blvd Ste 100, Burleson, TX 76028-2657 | 2019-09-12 |
| 1396303095 | Rafael Adolfo Garcia | Optometrist | 130 Nw John Jones Dr Ste 216a, Burleson, TX 76028-8174 | 2019-05-29 |
| 1134640634 | Dan Lam | Optometrist | 1169 N Burleson Blvd Ste 121, Burleson, TX 76028-7011 | 2017-07-05 |
| 1194113621 | John Johnson | Optometrist | 1169 N Burleson Blvd Ste 131, Burleson, TX 76028-7011 | 2015-01-07 |
| 1558769026 | Scott Hinkle | Optometrist | 8528 County Road 528, Burleson, TX 76028-1027 | 2014-12-15 |
| 1720371651 | Richard James Potvin | Optometrist | 13860 E Riviera Dr, Burleson, TX 76028-3272 | 2011-05-25 |
| 1043515943 | Kenneth F. Eckert | Optometrist | 951 Sw Wilshire Blvd Ste 105, Burleson, TX 76028-5749 | 2011-01-24 |
| 1952577157 | Dennis M Dean | Optometrist | 209 Market St, Burleson, TX 76028-4583 | 2008-05-07 |
| 1497890966 | Lux Eyewear for Less | Optometrist | 251 Sw Wilshire Blvd, Burleson, TX 76028-4700 | 2007-02-21 |
| 1558419259 | Dennis M Dean | Optometrist | 209 Market Street, Burleson, TX 76028-4583 | 2007-01-08 |
| Find all providers in BURLESON | ||||
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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.