| Dr Garett Wise, OD | |
|
1406 Main St, Conway, SC 29526-3567 | |
| (843) 488-2020 | |
| (843) 488-0141 |
| Full Name | Dr Garett Wise |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 20 Years |
| Location | 1406 Main St, Conway, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164521589 | NPI | - | NPPES |
| D14385 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1438 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bergelt Optometric Llc | 5092007666 | 17 |
| Provider Name | Bergelt Optometric Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386002467 PECOS PAC ID: 5092007666 Enrollment ID: O20160630001588 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garett Wise, OD 1406 Main St, Conway, SC 29526-3567 Ph: (843) 488-2020 | Dr Garett Wise, OD 1406 Main St, Conway, SC 29526-3567 Ph: (843) 488-2020 |
James M Vaught, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 Main Street, Conway, SC 29526 Phone: 843-488-2020 Fax: 843-488-0141 | |
Edward L Weiner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 Main Street, Conway, SC 29526 Phone: 843-488-2020 Fax: 843-488-0141 | |
Dr. Heather Lea Vaught, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 Main St, Conway, SC 29526 Phone: 843-488-2020 Fax: 843-488-9659 | |
Dr. Diana C James, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 Main Street, Conway, SC 29526 Phone: 843-488-2020 Fax: 843-488-0141 | |
Dr. Hannah Lane, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 Main St, Conway, SC 29526 Phone: 843-488-2020 Fax: 843-488-9659 | |
Dr. Kristin White, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 877-322-0181 |