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Deactivated NPI 1922111269 Deactivated / Inactive NPI Male Practitioner

Dr. Kent B Wise , OD

Optometrist • Burleson, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kent Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2006
NPI Deactivation Date August 16, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kent Wise, OD was a registered Optometrist practicing in Burleson, TX. Throughout an active medical career spanning 17 years, Dr. Wise provided care at the practice location at 1169 N BURLESON BLVD until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

1169 N Burleson Blvd
Suite 131

Burleson, TX 76028

Telephone 8174266060
Fax 8174262978
Associated Practice Facility / Clinic
🏢 Kent Wise Od Pa Facility NPI 1740319920

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Burleson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Burleson, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX TX4896

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Dan Lam , OD

Optometrist

NPI 1134640634

Doctor of Optometry

NPI 1477081271

Doctor of Optometry

NPI 1871481440

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

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Updated Business Mailing Address October 27, 2020

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

NPI Profile Active January 26, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 26, 2009

Registered at 1169 N BURLESON BLVD, SUITE 131, BURLESON, TX 76028 (Tel: 8174266060)

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Updated Business Mailing Address January 26, 2009

Registered at 1169 N BURLESON BLVD, SUITE 131, BURLESON, TX 76028 (Tel: 8174266060)

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Provider Name / Credentials Updated January 26, 2009

Recorded as KENT WISE, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2009

Optometrist (License #TX4896 in TX)

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Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922111269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: January 26, 2009
Deactivation Date: August 16, 2023

Mailing Address

1169 N Burleson Blvd, Suite 131

Burleson, TX 76028

Phone: 8174266060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.