# DR. RICHARD E WYSZYNSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134121577
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-054663-W | OH | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | 35.054663 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 06/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000126323 | ANTHEM | OH |
| 01 | — | 0011833800001 | MEDICAID | PA |
| 01 | — | 0800331 | UNITED HEALTHCARE | OH |
| 05 | — | 0808602 | — | OH |
| 01 | — | 180011157 | RAILROAD MEDICARE | OH |
| 01 | — | 4125776 | AETNA | OH |
| 01 | — | 574789 | KEYSTONE | OH |
| 01 | — | 80523 | QUALCHOICE | OH |
| 01 | — | M54663 | SUMMACARE | OH |