Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerome Wh Niswonger MD Inc

Organization Optometrist · NPI 1578584769

Jerome Wh Niswonger MD Inc is an Optometrist in Paradise, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6283 Clark Rd #10
Paradise, CA 95969-4100
Phone: (530) 877-2020
Fax: (530) 877-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1578584769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Niswonger — Owner/President · (530) 877-2020
Other names Eye Life Institute
NPI enumeratedJuly 22, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address6283 Clark Rd, 10, Paradise, CA 95969-4100

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