Active NPI
Antoni Michael Wichryk, O.D.
- Optometrist
- Macungie, PA
National Provider Identifier
1174611925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
6451 Village LN
Suite 200
Macungie, PA 18062-8484
Phone (610) 965-1800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichryk Eye Associates, P.C. | Optometrist | Current | Accepting new patients |
Locations
6451 Village Ln
#200
Macungie, PA 18062
Phone (610) 965-1800
Interoperability endpoints
- drwichryk@wichryk-eye-associates.direct.kno2fy.com
- 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.
-
- Optometrist
- Macungie, PA
- NPI 1902822331
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.