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Contact Information

RONALD E WISE MD PC
1435 WAZEE ST
#101
DENVER, CO80202-1491
 Phone: 303-299-9473
 Fax: 303-299-9472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for RONALD E WISE MD PC

NPI Number 1467405928
LBN Legal business name RONALD E WISE MD PC
Authorized official RONALD WISE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 09/20/2011 - About 15 years ago
Identifiers
CO Medicaid 90074084
Other RWO12401 ANTHEM BS
CO Other 110359756 DENVER RETAIL SALES LICEN
CO Other 020591 EYESPECIALISTS LOCATION #
CO Other DF6087 RR MEDICARE GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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