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

Dr. Alexis R Wylam, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1275219818

Dr. Alexis R Wylam, OD is an Optometry in Hazle Township, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Dr Sandra M Krokos and Thomas P Kislan PC, a 10-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

281 Airport Rd
Hazle Township, PA 18202-3320
Phone: (570) 453-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG004023 (PA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence OEG004023 (PA)

Record details

NPI number1275219818
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dr Sandra M Krokos And Thomas P Kislan Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount