Active NPI
Charles L Wahnon, M.D.
- Ophthalmology Physician
- Armonk, NY
National Provider Identifier
1801166293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 113959-1
- Practice address
- 40 Evergreen Row
Armonk, NY 10504-2210 - Phone
- (914) 273-8754
- Fax
- (914) 273-3847
- NPI assigned
- Jan 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 113959-1 | NY | Primary |
Addresses
Primary practice location
40 Evergreen Row
Armonk, NY 10504-2210
Mailing address
40 Evergreen Row
Armonk, NY 10504-2210
Phone (914) 273-8754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113959-1 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Eye Associates | Past | Accepting new patients |
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.
-
- Eyewear Supplier
- White Plains, NY
- NPI 1144253261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1801166293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 EVERGREEN ROW",
"city": "ARMONK",
"state": "NY",
"postal_code": "105042210",
"telephone_number": "914-273-8754",
"fax_number": "914-273-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 EVERGREEN ROW",
"city": "ARMONK",
"state": "NY",
"postal_code": "105042210",
"telephone_number": "914-273-8754",
"fax_number": "914-273-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHNON",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "113959-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Armonk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.