Richard L Wacksman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301035394 Issued in MI

Practice address

116 N Tuscola Rd
Bay City, MI 48708-6961

Phone

(989) 892-9595

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Bay Eye Care Center, PC

  • Ophthalmology Physician
  • Bay City, MI
  • NPI 1235168915
  Medicare reassignment NPD
• Bay Eye Care Center, PC

  • Optometrist
  • Bay City, MI
  • NPI 1679595201
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114934312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086961",
            "telephone_number": "989-892-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086961",
            "telephone_number": "989-892-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKSMAN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301035394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Paul Voogd, M.D.
• Catherine Louise Voss, B.A.
• Vpa PC
• W.M. Kais, DDS PLC
• Alexis Nicole Wackerle
• Jessica Wagner- Jeske, OD
• Elizabeth Wagner
• Jacob Wagner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1752)
• Wal-Mart Stores East, LP (Vision Center 30-1752)

• Ophthalmology Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.