Gene E. Wyll, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D9731 Issued in TX

Legal business name

GENE E. WYLL, M.D., P.A.

Practice address

610 N Coit Rd
Suite 2115
Richardson, TX 75080-5457

Phone

(214) 575-4455

Fax

(972) 918-0480

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Gene Wyll, M.D.NPI 1619969664

Title

President

Phone

(214) 575-4455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene E Wyll, MD

  • Ophthalmology Physician
  • Richardson, TX
  • NPI 1619969664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1437475126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N COIT RD",
            "address_2": "SUITE 2115",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805457",
            "telephone_number": "214-575-4455",
            "fax_number": "972-918-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N COIT RD",
            "address_2": "SUITE 2115",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805457",
            "telephone_number": "214-575-4455",
            "fax_number": "972-918-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE E. WYLL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "WYLL",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-575-4455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D9731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.