Individual provider Active NPI

Daniel Alan Wishnow, O.D.

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1508963307
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3741TG Issued in TX
Practice address
1437 Highway 6 Ste 400
Sugar Land, TX 77478-5131
Phone
(281) 265-9090
Fax
(281) 265-9099
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3741TG TX Primary

Addresses

Primary practice location

1437 Highway 6 Ste 400
Sugar Land, TX 77478-5131

Mailing address

1437 Highway 6 Ste 400
Sugar Land, TX 77478-5131
Phone (281) 265-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216002409 TX Practitioner - Optometry 5991843260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1437 Hwy 6
Suite 400
Sugar Land, TX 77478-5131
Phone (281) 265-9090

22132 Westheimer Pkwy
Katy, TX 77450-8296
Phone (281) 828-1010

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3741TXMDAssistant Behavior Analyst
3741TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince May 1, 2020 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

22132 Westheimer Pkwy
Katy, TX 77450
Phone (281) 828-1010

1437 Highway 6
Ste 400
Sugar Land, TX 77478
Phone (281) 265-9090

803 Woodbridge Pkwy
Ste 1400
Wylie, TX 75098
Phone (972) 442-2250

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1508963307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 HIGHWAY 6 STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785131",
            "telephone_number": "281-265-9090",
            "fax_number": "281-265-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 HIGHWAY 6 STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785131",
            "telephone_number": "281-265-9090",
            "fax_number": "281-265-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHNOW",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3741TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.