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JEROME WH NISWONGER MD INC NPI 1093979536


NPI Information

NPI: 1093979536
Provider Name: JEROME WH NISWONGER MD INC

Doing Business As: EYE LIFE INSTITUTE

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
245 N VILLA AVE
WILLOWS, CA
ZIP 95988
Phone: (530) 877-2020
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JEROME WH NISWONGER MD INC is an ophthalmology in Willows, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. JEROME WH NISWONGER MD INC NPI is 1093979536. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eye Life Institute.

The provider's business location address is:

245 N VILLA AVE
WILLOWS, CA
ZIP 95988-607
Phone: (530) 877-2020
Fax: (530) 877-4641

The provider's authorized official is Jerome Niswonger .
The authorized official title is Owner and has the following contact phone number (530) 877-2020.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 7/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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