Tamara B Wyse, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-092731 Issued in IL

Practice address

900 Skokie Blvd
Suite 150
Northbrook, IL 60062-4012

Phone

(847) 497-2020

Fax

(847) 497-2002

NPI assigned

Jul 30, 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 IL

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

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyse Eyecare SCGroup PAC ID 4789728486, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score

92.59 of 100Reported as group

Quality

96.51

Promoting interoperability

100

Improvement activities

40

Cost

78.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wyse Eyecare SC

  • Ophthalmology Physician
  • Northbrook, IL
  • NPI 1316272289
  Medicare reassignment Care Compare group NPD Authorized official
• Evanston Ophthalmologists, S.C.

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1073614863
  NPD (past)
• Fenner Plastic Surgery, LTD.

  • Plastic Surgery Physician
  • Kenilworth, IL
  • NPI 1316194285
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1881609642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD",
            "address_2": "SUITE 150",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-497-2020",
            "fax_number": "847-497-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD",
            "address_2": "SUITE 150",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-497-2020",
            "fax_number": "847-497-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSE",
        "first_name": "TAMARA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-092731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL GROUP #",
            "identifier": "1600854",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cary Wormser, LSW
• Alexine Wright
• Erin Wright
• Daniel R Wynn, M.D.
• Wyse Eyecare SC
• Jiashu Xie
• George Lee Xiong, MA, LCPC, ADHD-CCSP
• Julia Yaccarino, LSW
• Lancelot Yamada
• Michelle Yanchenko, RBT 18-64271

• Ophthalmology Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.