Active NPI
Wichryk Eye Associates, P.C.
- Optometrist
- Macungie, PA
National Provider Identifier
1902822331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000242
- Legal business name
- WICHRYK EYE ASSOCIATES, P.C.
- Practice address
- 6451 Village LN
Suite 200
Macungie, PA 18062-8484 - Phone
- (610) 965-1800
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antoni Michael Wichryk, O.D.
- Title
- President
- Phone
- (610) 965-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000242 | PA | Primary |
Addresses
Primary practice location
6451 Village LN
Suite 200
Macungie, PA 18062-8484
Mailing address
6451 Village LN
Suite 200
Macungie, PA 18062-8484
Phone (610) 965-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017439 | Other | PA | AETNA US HEALTHCARE |
| 267858 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3261 Route 100
Ste 240
Macungie, PA 18062
Phone (610) 965-1800
Interoperability endpoints
- drr@wichrykeye.eyefinity-direct.com
- drtang@wichrykeye.eyefinity-direct.com
- drw@wichrykeye.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Macungie, PA
- NPI 1174611925
-
- Optometrist
- Macungie, PA
- NPI 1013902717
-
- Optometrist
- Bethlehem, PA
- NPI 1790207132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1902822331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 VILLAGE LN",
"address_2": "SUITE 200",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180628484",
"telephone_number": "610-965-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 VILLAGE LN",
"address_2": "SUITE 200",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180628484",
"telephone_number": "610-965-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WICHRYK EYE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "WICHRYK",
"authorized_official_first_name": "ANTONI",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-965-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "1017439",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "267858",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macungie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.