Jerome Wh Niswonger MD INC
NPI #1578584769 in Paradise, California
Provider Information
- NPI Number
- 1578584769
- Entity Type
- Organization
- Organization Name
- Jerome Wh Niswonger MD INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 6283 CLARK RD
- Address 2
- #10
- City
- Paradise
- State
- California
- ZIP Code
- 95969-4100
- Phone
- (530) 877-2020
Authorized Official
- Name
- DR. JEROME WH NISWONGER, MD
- Title
- OWNER/PRESIDENT
- Phone
- (530) 877-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
| Optometrist |
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