Organization · NPI-2

Adriana G. Wiseman, O.D., P.C.

Optometrist · Chevy Chase, MD

NPI number1740690684
StatusActive
Last updated in NPPESAug 20, 2014

Details

NPI
1740690684
Entity type
Organization (NPI-2)
Legal business name
Adriana G. Wiseman, O.D., P.C.
Organization subpart
No
Enumeration date
Apr 30, 2014
Last updated
Aug 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTA988MDYes
152W00000X Optometrist0601001497VA
152W00000X OptometristOP1000262DC
152WL0500X Optometrist, Low Vision RehabilitationTA988MD
152WL0500X Optometrist, Low Vision Rehabilitation0601001497VA
152WL0500X Optometrist, Low Vision RehabilitationOP1000262DC

Other names

  • New Vision Optometry (Doing Business As)

Practice location

5621 Grove St
Chevy Chase, MD 20815-3420

Phone 301-529-9629

Mailing address

5621 Grove St
Chevy Chase, MD 20815-3420

Authorized official

Adriana Wiseman
President/Optometrist
3015299629

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