Individual provider Active NPI

Christian Matthew Wyler, OD

  • Optometrist
  • Lancaster, KY
National Provider Identifier
1851951362
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2137DT Issued in KY
Practice address
304 Stanford St
Lancaster, KY 40444
Phone
(859) 304-5224
Fax
(859) 304-5227
NPI assigned
Jun 17, 2019
Last updated
Jul 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2137DT KY Primary

Addresses

Primary practice location

304 Stanford St
Lancaster, KY 40444

Mailing address

103 Newigi Dr
Stanford, KY 40484-1309
Phone (859) 339-8011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003908 KY Practitioner - Optometry 8022346212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 Stanford St
Lancaster, KY 40444-1239
Phone (859) 304-5224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Eye Center PLLC Optometrist CurrentSince Jul 27, 2019 Accepting new patients

Locations

304 Stanford St
Lancaster, KY 40444
Phone (859) 304-5224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1851951362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NEWIGI DR",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841309",
            "telephone_number": "859-339-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 STANFORD ST",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "40444",
            "telephone_number": "859-304-5224",
            "fax_number": "859-304-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLER",
        "first_name": "CHRISTIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2137DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, KY

Sources for this page

Verify at the official NPI Registry.