Patrick Glade Whitworth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3371 Issued in MO

Practice address

19045 E Valley View Pkwy
Independence, MO 64055-7030

Phone

(816) 795-7777

Fax

(816) 795-1290

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eyecare Specialties IncGroup PAC ID 1153371646, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.94 of 100Reported as group

Quality

73.89

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IL PPO Downstate
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

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

• Insight Eyecare Specialties Inc.

  • Ophthalmology Physician
  • Kansas City, MO
  • NPI 1285728196

  Optometrist

  Medicare reassignment Care Compare group NPD
• Whitworth Optometry, P.C.

  • Optometrist
  • Independence, MO
  • NPI 1639198807
  NPD (past) Authorized official
• Insight Eyecare Specialties Inc

  • Optometrist
  • Independence, MO
  • NPI 1952686255
  NPD
• Insight Eyecare Specialties Inc

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1053015792

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1003848615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 E VALLEY VIEW PKWY",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557030",
            "telephone_number": "816-795-7777",
            "fax_number": "816-795-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19045 E VALLEY VIEW PKWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557030",
            "telephone_number": "816-795-7777",
            "fax_number": "816-795-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "PATRICK",
        "middle_name": "GLADE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Chad White, DO
• Karalee White, CTRS
• Ronnie Whitebear-Short
• Whitworth Optometry, P.C.
• Lee Anne Whitworth, O.D.
• Susan Appleberry Widick, D.D.S.
• Erin Emily Wieland
• Heather Elayne Wieners, RPH
• Brianna Wiepen, DDS
• Jill Elizabeth Wiese, RN, NNP-BC

• Optometrist in Independence, MO
• Providers in Independence, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.