Irving Charles Wishnow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1640 Issued in TX

Practice address

5649 Beechnut St
Houston, TX 77096-1021

Phone

(713) 771-1206

Fax

(713) 771-4747

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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 TX

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912053034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961021",
            "telephone_number": "713-771-1206",
            "fax_number": "713-771-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961021",
            "telephone_number": "713-771-1206",
            "fax_number": "713-771-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHNOW",
        "first_name": "IRVING",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "74-1532044",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• India Nicole Wiseman
• Juliet Wiseman
• Katherine Wiser, LSA, CST/CSFA
• Wishing Well Centers for Rehabilitation, LLC
• Wishnow Vision Associates
• Berlinda Denise Wishom
• Caroline Wislar, MS, CCC-SLP
• Alec Wisner, PHARMD
• Matthew Allen Wisniewski, CPNP-AC
• Theodore Francis Wissink, M.D.

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.