DR. JONATHAN F WISE MD NPI 1588629794

NPI Information

  • NPI: 1588629794
  • Provider Name: DR. JONATHAN F WISE, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3816 HOLLYWOOD BLVD
    SUITE 101
    HOLLYWOOD, FL
    ZIP 33021
  • Phone: (954) 963-4990

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NPI Details

DR. Jonathan F Wise, MD is a specialist in Hollywood, FL with 52 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jonathan F Wise, MD NPI is 1588629794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:1973

The provider's business location address is:

3816 HOLLYWOOD BLVD
SUITE 101
HOLLYWOOD, FL
ZIP 33021-750
Phone: (954) 963-4990
Fax: (954) 963-1848

The NPI 1588629794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient complete exam of visual system (HCPCS:92004)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMEOO34543Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
193705MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE
2D60554MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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