NPIMap

Organization Active NPI

Visionary Ophthalmology and Cataract Care, PLLC

Doing business as Niswander Eye Center

  • Ophthalmology Physician
  • Williamsville, NY
National Provider Identifier
1144284043
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
142714 Issued in NY
Legal business name
VISIONARY OPHTHALMOLOGY AND CATARACT CARE, PLLC
Doing business as
Niswander Eye Center
Practice address
40 N Union Rd
Niswander Eye Center
Williamsville, NY 14221-5339
Phone
(716) 634-4441
Fax
(716) 634-3174
NPI assigned
Apr 17, 2006
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Philip Niswander, MDNPI 1306844550
Title
MD/Partner
Phone
(716) 634-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X VUT005781-1 NY
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 142714 NY Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

40 N Union Rd
Niswander Eye Center
Williamsville, NY 14221-5339

Mailing address

40 N Union Rd
Williamsville, NY 14221-5339

Other identifiers 2

IdentifierTypeStateIssuer
01632920MedicaidNY
390088001OtherNYBLUE CROSS GROUP NUMBER

Other names 2

  • NISWANDER EYE CENTER Doing business as
  • Philip Niswander MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104000410 NY Part B Supplier - Clinic/Group Practice 2860880226 Receives reassigned benefits from 3 practitioners
Practice locations: Williamsville, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/vo90cc71

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1144284043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "address_2": "NISWANDER EYE CENTER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215339",
            "telephone_number": "716-634-4441",
            "fax_number": "716-634-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY OPHTHALMOLOGY AND CATARACT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "NISWANDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "716-634-4441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005781-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "142714",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01632920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "390088001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NISWANDER EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NISWANDER EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philip Niswander MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.