Organization Active NPI

Shepherd Hills Eye Care Center, LLC

  • Optometrist
  • Allentown, PA
National Provider Identifier
1023348067
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000496 Issued in PA
Legal business name
SHEPHERD HILLS EYE CARE CENTER, LLC
Practice address
5940 Hamilton Blvd
Suite C
Allentown, PA 18106-9648
Phone
(610) 481-9200
Fax
(610) 481-0289
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard J Wiscount, O.D.
Title
Managing Member
Phone
(610) 481-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG-000496 PA Primary

Addresses

Primary practice location

5940 Hamilton Blvd
Suite C
Allentown, PA 18106-9648

Mailing address

5940 Hamilton Blvd
Suite C
Allentown, PA 18106-9648
Phone (610) 481-9200

Other names 1

  • Shepherd Hills Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

5940 Hamilton Blvd
Ste C
Allentown, PA 18106
Phone (610) 481-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1023348067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 HAMILTON BLVD",
            "address_2": "SUITE C",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069648",
            "telephone_number": "610-481-9200",
            "fax_number": "610-481-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 HAMILTON BLVD",
            "address_2": "SUITE C",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069648",
            "telephone_number": "610-481-9200",
            "fax_number": "610-481-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HILLS EYE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "WISCOUNT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "610-481-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd Hills Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.