Lewis Richard Kannwischer, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D5055 Issued in TX

Practice address

3115 Pine Ave
Suite 202
Waco, TX 76708-3247

Phone

(254) 752-8328

Fax

(254) 752-7724

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Central Texas Eye Clinic, PA

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1487714374
  NPD (past) Authorized official

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1710084447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 PINE AVE",
            "address_2": "SUITE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083247",
            "telephone_number": "254-752-8328",
            "fax_number": "254-752-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PINE AVE",
            "address_2": "SUITE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083247",
            "telephone_number": "254-752-8328",
            "fax_number": "254-752-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNWISCHER",
        "first_name": "LEWIS",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D5055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aadil Kaisani, DO
• Sydnee Kalbow
• Amanda Kaluza
• Rebecca Morgan Kammer, LPC-ASSOCIATE
• Claire Elise Kanak, MD
• Tamsak Kanoklukul, CRNA
• Shobha Karan, M.D
• Miriam Paiva Pahim Karkle, LPC
• Sri Kasaram
• David M Kast, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.