Gary Michael Pisanchyn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

004514-1 Issued in NY

Practice address

503 S State St
Clarks Summit, PA 18411-1557

Phone

(570) 587-5186

NPI assigned

May 30, 2006

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Optometry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Innovation Centers of Pennsylvania LLCGroup PAC ID 0840625349, 86 clinicians

Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.1 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.01

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.pisanchyn@vip.emadirect.md

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.

• Vision Innovation Centers of Pennsylvania LLC

  • Ophthalmology Physician
  • Kingston, PA
  • NPI 1962046458

  Optometrist

  Medicare reassignment Care Compare group NPD
• Sight Medical Doctors PLLC

  • Ophthalmology Physician
  • Hauppauge, NY
  • NPI 1487077483
  Medicare reassignment Care Compare group NPD
• Ophthalmic Associates of the

  • Ophthalmology Physician
  • Johnson City, NY
  • NPI 1306893169
  Medicare reassignment NPD
• Vision Innovation Centers of Pennsylvania LLC

  • Optician
  • West Reading, PA
  • NPI 1811608078

  Optometrist

  NPD
• Sight Medical Doctors PLLC

  dba SightMD NY

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, NY
  • NPI 1730040700
  NPD
• Vision Innovation Centers of Pennsylvania LLC

  • Durable Medical Equipment & Medical Supplies
  • Nanticoke, PA
  • NPI 1104460542

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1598712846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "667-354-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111557",
            "telephone_number": "570-587-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mifflin Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185031982",
            "country_code": "US",
            "telephone_number": "570-342-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISANCHYN",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003475",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004514-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00974465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexa Anais Plevyak
• Polaris Counseling and Wellness LLC
• Kimberly A Portanova
• Porzio-Hawley Chiropractic & Nutrition Center LLC
• Nicole Marie Porzio-Hawley, D.C.

• Optometrist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.

Verify at the official NPI Registry.