Individual provider Active NPI

David Howard Wysinger, OD

  • Optometrist
  • McKinney, TX
National Provider Identifier
1982814463
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6856T Issued in TX
Practice address
5001 McKinney Ranch Pkwy Ste a
McKinney, TX 75070-8601
Phone
(972) 743-4242
Fax
(972) 547-4202
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6856T TX Primary

Addresses

Primary practice location

5001 McKinney Ranch Pkwy Ste a
McKinney, TX 75070-8601

Mailing address

1123 Brook Ridge Ave
Allen, TX 75002-2707
Phone (972) 743-4242

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140417000381 TX Practitioner - Optometry 4587829445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6856TXMDChiropractor
6856TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Sight, Inc Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1982814463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BROOK RIDGE AVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022707",
            "telephone_number": "972-743-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 MCKINNEY RANCH PKWY STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708601",
            "telephone_number": "972-743-4242",
            "fax_number": "972-547-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSINGER",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6856T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.