Individual provider Active NPI

David W Whiting, M.D.

  • Ophthalmology Physician
  • St Louis Park, MN
National Provider Identifier
1003836479
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30337 Issued in MN
Practice address
6099 Wayzata Blvd Ste 100-120
St Louis Park, MN 55416-5538
Phone
(952) 204-5060
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 30337 MN Primary

Addresses

Primary practice location

6099 Wayzata Blvd Ste 100-120
St Louis Park, MN 55416-5538

Mailing address

6099 Wayzata Blvd Ste 100-120
St Louis Park, MN 55416-5538
Phone (952) 204-5060

Other identifiers 1

IdentifierTypeStateIssuer
146393400MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ovoeye.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081218000667 MN Practitioner - Ophthalmology 9234023482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovo Lasik and Lens LLCGroup PAC ID 8921497751, 7 clinicians

Practice addresses (Care Compare)

6099 Wayzata Blvd
Suite 120
Minneapolis, MN 55416-5538
Phone (952) 204-5060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30337MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Opti-Min PA Ophthalmology CurrentSince Jan 3, 2000 Accepting new patients
Burnsville Eye Clinic LLC CurrentSince May 28, 2011 Accepting new patients
Ovo Lasik and Lens LLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Southwest Ophthalmology Associates, P.a. Ophthalmology Past Accepting new patients
The Total Vision Institute LLC Past Accepting new patients

Locations

28707 Network Pl
Chicago, IL 60673

150 E Travelers Trl
Ste D
Burnsville, MN 55337
Phone (952) 894-1400

1004 County Road 42 E
Burnsville, MN 55337
Phone (952) 894-1400

17690 Kenwood Trl
Lakeville, MN 55044
Phone (952) 898-9588

110 Cheshire Ln
Ste 200
Minnetonka, MN 55305
Phone (612) 475-3787

6099 Wayzata Blvd
St Louis Park, MN 55416
Phone (612) 871-1144

6099 Wayzata Blvd
Ste 120
St Louis Park, MN 55416
Phone (952) 204-5060

7415 Wayzata Blvd
Ste 100
St Louis Park, MN 55426

7415 Wayzata Blvd
St Louis Park, MN 55426
Phone (952) 475-3787

6099 Wayzata Blvd
Ste 100120
St Louis Park, MN 55416
Phone (952) 204-5060

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1003836479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 100-120",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 100-120",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "30337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146393400",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ovoeye.com",
            "affiliation": "N",
            "address_1": "6099 Wayzata Blvd Ste 100-120",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554165538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.