Individual provider Active NPI

Dustin Jeffrey Wasylik, D.O.

  • Ophthalmology Physician
  • Maumee, OH
National Provider Identifier
1083027346
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
81143 Issued in WI
Practice address
5655 Monclova Rd
Maumee, OH 43537-1870
Phone
(419) 357-3359
NPI assigned
Jun 4, 2014
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 81143 WI Primary
Ophthalmology Physician 207W00000X 293780 NY

Addresses

Primary practice location

5655 Monclova Rd
Maumee, OH 43537-1870

Mailing address

5655 Monclova Rd
Maumee, OH 43537-1870
Phone (419) 930-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ, FL, VA, OH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230526001385 WI Practitioner - Ophthalmology 3173833753 Reassigns benefits to 9 organizations
I20240213003889 AZ Practitioner - Ophthalmology 3173833753
I20240906003853 FL Practitioner - Ophthalmology 3173833753 Reassigns benefits to 1 organization
I20241009003479 VA Practitioner - Ophthalmology 3173833753 Reassigns benefits to 1 organization
I20250425001292 OH Practitioner - Ophthalmology 3173833753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Eye Care Center, LLCGroup PAC ID 9931238094, 6 clinicians
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, shared by 5 NPIs, 165 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-3232

3915 Sunforest CT
Suite a
Toledo, OH 43623-4453
Phone (419) 475-9251

4710 Spotsylvania Pkwy
Suite 104
Fredericksburg, VA 22407-9433
Phone (540) 741-2733

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
010830AZMDPharmacist
293780NYMDOphthalmology Physician
81143WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Toledo Eye Associates LLC Ophthalmology CurrentSince Feb 28, 2025 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Jul 9, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince May 22, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince May 22, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince May 22, 2023 Accepting new patients
Mary Washington Eye Care Center, LLC Ophthalmology CurrentSince Nov 12, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 22, 2023 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
#G
Daytona Beach, FL 32114
Phone (386) 425-1700

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

5655 Monclova Rd
Maumee, OH 43537
Phone (419) 893-4883

3915 Sunforest Ct
Ste A
Toledo, OH 43623
Phone (419) 473-1339

4710 Spotsylvania Pkwy
Ste 104
Fredericksburg, VA 22407
Phone (540) 741-2733

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: dwasylik126154@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1083027346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371870",
            "telephone_number": "419-930-6442",
            "fax_number": "419-930-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371870",
            "telephone_number": "419-357-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASYLIK",
        "first_name": "DUSTIN",
        "middle_name": "JEFFREY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "81143",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "293780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.