Catherine L Wisda, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA05025100 Issued in NJ

Practice address

1318 S Main Rd
BLDG. 2a
Vineland, NJ 08360-6516

Phone

(856) 692-8008

Fax

(856) 692-8044

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

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

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Professionals LLCGroup PAC ID 3072771617, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: catherine.wisda@wisdaeyecenter.chartmakerdirect.com

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.

• The Eye Professionals LLC

  • Ophthalmology Physician
  • Millville, NJ
  • NPI 1962786590
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1699717975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "address_2": "BLDG. 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-692-8008",
            "fax_number": "856-692-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "address_2": "BLDG. 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-692-8008",
            "fax_number": "856-692-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDA",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05025100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7014007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lannie Winston
• Winter Enterprises
• Winter Enterprises
• Vincent Winterling
• Wisda Eye Center PC
• Susan A. Witt-Trabuchi, D.D.S.
• Jennifer Witt, PA
• Shontese Monee' Womack
• Woo Kwang Song MD Gastroenterology LLC
• Lauren Ashley Wood, MD

• Ophthalmology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.