PAMELA M WISE (OD) – Optometrist, NPI 1700863321

PAMELA M WISE (OD) is a healthcare provider. based in Mishawaka, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18002843A (IN). The NPI Number for PAMELA M WISE (OD) is 1700863321

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA M WISE (OD)
NPI
1700863321
Phone
(574) 271-3939
Address
230 E DAY RD
Enumeration Date
23 December 2005
Last Update Date
21 March 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5742713939
Graduation Year
1996 (30 years ago)
PAC ID
3971648064
Group Practice PAC ID
3173595634
Professional Enrollment ID
I20100301000242
Address ID
IN465453408MI230XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for PAMELA M WISE (OD)

  • East Day Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    100

    MISHAWAKA, IN 465453408

    Phone: (574) 271-3939

    Fax: (574) 271-3941

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,165.

Total Amount is formed as General ($1,165) + Research ($0) + Ownership ($0) = $1,165.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($318).

Total Amount

$1,165

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100301000242IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes305174$0
92014Established patient complete exam of visual system256256$0
99214Established patient office or other outpatient visit, 30-39 minutes8582$0
92004New patient complete exam of visual system4141$0
92083Exam of visual field with extended testing4039$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Provider's Procedures

PAMELA M WISE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92083Measurement of field of vision during daylight conditions3636
OPTOMETRYIN92134Diagnostic imaging of retina1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173595634View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Is there an official ID for PAMELA M WISE (OD) in U.S. healthcare records?
The official identifier for PAMELA M WISE (OD) is NPI 1700863321.
Is PAMELA M WISE (OD) shown as active in public data?
Registry records indicate PAMELA M WISE (OD) maintains an active NPI.
How would a patient describe PAMELA M WISE (OD)'s focus?
For PAMELA M WISE (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Indiana is PAMELA M WISE (OD) registered?
Use Mishawaka, Indiana as the headline location for PAMELA M WISE (OD) here.
When was this NPI issued?
Enumeration for PAMELA M WISE (OD) is noted as December 23, 2005 where the registry provides it.

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