NPIMap

Organization Active NPI

Nicole Whitaker O.D.

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1003040957
Registry record updated Sep 29, 2015
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5826 Issued in OH
Legal business name
NICOLE WHITAKER O.D.
Practice address
2540 Maysville Pike
Zanesville, OH 43701-7561
Phone
(740) 450-2733
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nicole Whitaker, O.D.
Title
Owner
Phone
(740) 450-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5826 OH Primary

Addresses

Primary practice location

2540 Maysville Pike
Zanesville, OH 43701-7561

Mailing address

2540 Maysville Pike
Zanesville, OH 43701-7561
Phone (740) 450-2733

National Provider Directory

National Provider Directory

Locations

2540 Maysville Pike
Zanesville, OH 43701
Phone (740) 450-2733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1003040957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017561",
            "telephone_number": "740-450-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017561",
            "telephone_number": "740-450-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE WHITAKER O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-450-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.