Individual provider Active NPI

Richard J Wiscount, O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1134128952
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000496 Issued in PA
Practice address
5940 Hamilton Blvd
Suite C
Allentown, PA 18106-9648
Phone
(610) 481-9200
Fax
(610) 481-0289
NPI assigned
Jul 14, 2005
Last updated
Nov 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-000496PAMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1134128952",
    "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": {
        "last_name": "WISCOUNT",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.