JEROME WH NISWONGER MD INC
NPI 1578584769
Optometrist in Paradise, CA

Q: What is Jerome Wh Niswonger MD Inc's NPI number?

The NPI number for Jerome Wh Niswonger MD Inc is 1578584769. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Eye Life Institute.

Q: What is Jerome Wh Niswonger MD Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 22, 2006

6283 CLARK RD, #10, PARADISE, CA 95969(530) 877-2020(530) 877-4641 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Jerome Wh Niswonger Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME WH NISWONGER MD INC (NPI 1578584769), doing business as Eye Life Institute, is a healthcare organization registered as an optometrist in Paradise, California and active in the NPI registry since July 2006. The organization lists Jerome Wh Niswonger, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1578584769

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJEROME WH NISWONGER MD INC

Location Address6283 CLARK RD, #10Paradise, CA 95969-4100

Mailing Address6283 Clark Rd, #10Paradise, CA 95969-4100 · (530) 877-2020 · Fax (530) 877-4641

Phone(530) 877-2020

Fax(530) 877-4641

Organization SubpartNo

Authorized OfficialJerome Wh NiswongerOwner/president · (530) 877-2020

Enumeration DateJuly 22, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1578584769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOphthalmologyTaxonomy 207W00000X

6283 CLARK RD, Paradise, CA 95969

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Other Names 1

Doing Business AsEye Life Institute

Other Identifiers 2

OtherZZZ22165ZCA · Blue Cross

OtherZZZ22165ZCA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION

Clinic/Center (Ambulatory Surgical)

6283 CLARK RD, #11
PARADISE, CA 95969

Butte County (530) 877-2020

DR. DEAN ALAN HADLEY MD

Urology

6283 CLARK RD, STE 3
PARADISE, CA 95969

Butte County (530) 872-0220

JENNIFER L ENSMINGER M.D.

Ophthalmology

6283 CLARK RD, SUITE #10
PARADISE, CA 95969

Butte County (530) 877-2020

PARADISE SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

6283 CLARK RD, SUITE 11
PARADISE, CA 95969

Butte County (530) 514-8282

RICHARD D ZUMWALT

Dermatology

6283 CLARK RD, #9
PARADISE, CA 95969

Butte County (530) 872-0617

MR. PER ARNE DOVRE MD

Obstetrics & Gynecology

6283 CLARK RD, SUITE 8
PARADISE, CA 95969

Butte County (530) 872-2229

DR. BROCK CUMMINGS MD

Orthopaedic Surgery

6283 CLARK RD, STE 15
PARADISE, CA 95969

Butte County (530) 876-0410

DR. SUNG PARK M.D.

Obstetrics & Gynecology

6283 CLARK RD, STE 5
PARADISE, CA 95969

Butte County (530) 877-5083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Wh Niswonger MD Inc's NPI number?

The NPI number for Jerome Wh Niswonger MD Inc is 1578584769. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Eye Life Institute.

Where is Jerome Wh Niswonger MD Inc located?

Jerome Wh Niswonger MD Inc is located at 6283 Clark Rd #10, Paradise, CA 95969. The listed phone number is (530) 877-2020.

What is Jerome Wh Niswonger MD Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jerome Wh Niswonger MD Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.