Wisda Eye Center PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA05025100 Issued in NJ

Legal business name

WISDA EYE CENTER PC

Practice address

1318 S Main Rd
BLDG. 2a
Vineland, NJ 08360-6516

Phone

(856) 692-8008

Fax

(856) 692-8044

NPI assigned

Jun 22, 2006

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne Logan

Title

Administrator

Phone

(856) 692-8008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1912943440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "address_2": "BLDG. 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-692-8008",
            "fax_number": "856-692-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "address_2": "BLDG. 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-692-8008",
            "fax_number": "856-692-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDA EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-692-8008"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05025100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7014007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Winik, DPM
• Lannie Winston
• Winter Enterprises (Signature Smiles)
• Winter Enterprises (Signature Smiles)
• Vincent Winterling
• Catherine L Wisda, M.D.
• Susan A. Witt-Trabuchi, D.D.S.
• Jennifer Witt, PA
• Shontese Monee' Womack
• Woo Kwang Song MD Gastroenterology LLC

• Ophthalmology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.