Individual provider Active NPI

Gene E Wyll, MD

  • Ophthalmology Physician
  • Richardson, TX
National Provider Identifier
1619969664
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D9731 Issued in TX
Practice address
610 N Coit Rd
Suite 2115
Richardson, TX 75080-5457
Phone
(214) 575-4455
Fax
(972) 918-0480
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D9731 TX Primary

Addresses

Primary practice location

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

Mailing address

610 N Coit Rd
Suite 2115
Richardson, TX 75080-5457
Phone (214) 575-4455

Other names 1

  • Gene E Wyll Professional name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000321 TX Practitioner - Ophthalmology 4385776806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15635 Coit Rd
Dallas, TX 75248-4427
Phone (214) 575-4455

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D9731TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gene E. Wyll, M.D., P.a. Ophthalmology CurrentSince Jul 1, 1976 Accepting new patients

Locations

15635 Coit Rd
Dallas, TX 75248
Phone (214) 575-4455

610 N Coit Rd
Ste 2115
Richardson, TX 75080
Phone (214) 575-4455

Organizations & group practices 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1619969664",
    "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": {
        "last_name": "WYLL",
        "first_name": "GENE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D9731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "WYLL",
            "middle_name": "E",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.