Individual provider Active NPI

Antoni Michael Wichryk, O.D.

  • Optometrist
  • Macungie, PA
National Provider Identifier
1174611925
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000242 Issued in PA
Practice address
6451 Village LN
Suite 200
Macungie, PA 18062-8484
Phone
(610) 965-1800
Fax
(610) 965-1805
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000242 PA Primary

Addresses

Primary practice location

6451 Village LN
Suite 200
Macungie, PA 18062-8484

Mailing address

6451 Village LN
Suite 200
Macungie, PA 18062-8484
Phone (610) 965-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000485 PA Practitioner - Optometry 4789684192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichryk Eye Associates PCGroup PAC ID 9739284787, 2 clinicians

Practice addresses (Care Compare)

6451 Village LN
Suite 200
Macungie, PA 18062-8484
Phone (610) 965-1800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wichryk Eye Associates, P.C. Optometrist CurrentSince Sep 1, 2006 Accepting new patients

Locations

6451 Village Ln
#200
Macungie, PA 18062
Phone (610) 965-1800

Interoperability endpoints

  • Direct secure messaging: drwichryk@wichryk-eye-associates.direct.kno2fy.com
  • Direct secure messaging: drw@wichrykeye.eyefinity-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1174611925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628484",
            "telephone_number": "610-965-1800",
            "fax_number": "610-965-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628484",
            "telephone_number": "610-965-1800",
            "fax_number": "610-965-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHRYK",
        "first_name": "ANTONI",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.