Active NPI
Philip R Niswander, M.D.
- Ophthalmology Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 142714
- Practice address
- 40 N Union Rd
Niswander Eye Center
Williamsville, NY 14221-5339 - Phone
- (716) 634-4441
- Fax
- (716) 634-3174
- NPI assigned
- Jul 12, 2005
- Reactivated
- Mar 21, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 142714 | NY | Primary |
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
Phone (716) 634-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00766289 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Ophthalmology and Cataract Care, PLLC | Current | Accepting new patients | |
| Visionary Ophthalmology and Cataract Care, PLLC | Ophthalmology | Current | Accepting new patients |
| Ambulatory Surgery Center of Wny | Past | Accepting new patients |
Locations
40 N Union Rd
Williamsville, NY 14221
Phone (716) 631-3950
Interoperability endpoints
- https://app.meldrx.com/api/fhir/vo90cc71
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Williamsville, NY
- NPI 1215192638
-
- Optometrist
- Williamsville, NY
- NPI 1801894068
Organizations & group practices 3
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.
-
dba Niswander Eye Center
- Ophthalmology Physician
- Williamsville, NY
- NPI 1144284043
-
dba The Visionary
- Eyewear Supplier
- Williamsville, NY
- NPI 1205989647
-
- Ambulatory Surgical Clinic/Center
- Amherst, NY
- NPI 1730249327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1306844550",
"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",
"telephone_number": "716-634-4441",
"fax_number": "716-634-3174"
},
{
"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": {
"last_name": "NISWANDER",
"first_name": "PHILIP",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "142714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00766289",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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; 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.