Robert W Wyman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NH383 Issued in NH

Practice address

338 Main St
Keene, NH 03431-4146

Phone

(603) 357-4090

Fax

(603) 357-5081

NPI assigned

Oct 24, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1407930894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314146",
            "telephone_number": "603-357-4090",
            "fax_number": "603-357-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314146",
            "telephone_number": "603-357-4090",
            "fax_number": "603-357-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002301",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Wright
• Blake Chester Wullbrandt, DDS
• Zachariah Charles Wullbrandt
• Wyman Way Cooperative, Inc
• Liza R Wyman
• Siva Naga Srinivas Yarrarapu
• Joseph Yazvac III, PH.D.
• Yvette Yeager, M.S.W.
• Samuel David Yeiter
• Ankita Yelamanchili

• Optometrist in Keene, NH
• Providers in Keene, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.