W. Reynolds Sisson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000258 Issued in PA

Practice address

7 Cramer Dr
Newport, PA 17074-8720

Phone

(717) 567-3103

Fax

(717) 567-7784

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sisson - Boyer Eyecare, LLC

  • Optometrist
  • Newport, PA
  • NPI 1376877704
  NPD
• William Reynolds Sisson

  • Optometrist
  • Newport, PA
  • NPI 1598865396
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1316906027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CRAMER DR",
            "address_2": "PO BOX 70",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748720",
            "telephone_number": "717-567-3103",
            "fax_number": "717-567-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CRAMER DR",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748720",
            "telephone_number": "717-567-3103",
            "fax_number": "717-567-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "W.",
        "middle_name": "REYNOLDS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Martin Schryver, MS, LAT, ATC, PES
• Arden Theodore Shambaugh, PHARMACIST
• Julie Ann Sherk, CRNP
• Sheri Vanet Shoemaker, LPC
• Sisson - Boyer Eyecare, LLC
• Daniel Christopher Slatt, DPT
• Jillian Blake Sterner, CRNP
• Shane D Stoneroad, RPH
• Charles R Stormer, PHARMD
• David E Tanner, D.O.

• Optometrist in Newport, PA
• Providers in Newport, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.