Active NPI
David Blair Whitney, O.D.
- Optometrist
- Lansing, MI
National Provider Identifier
1003980483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002776
- Practice address
- 340 E Edgewood Blvd
Lansing, MI 48911-5807 - Phone
- (517) 887-0015
- Fax
- (517) 887-0233
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002776 | MI | Primary |
Addresses
Primary practice location
340 E Edgewood Blvd
Lansing, MI 48911-5807
Mailing address
16930 Black Walnut LN
East Lansing, MI 48823-9656
Phone (517) 575-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002776 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lansing Ophthalmology, P.C. | Optometrist | Past | Accepting new patients |
| Lansing Ophthalmology, P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba LO Eye Care
- Ophthalmology Physician
- East Lansing, MI
- NPI 1962485342
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003980483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16930 BLACK WALNUT LN",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239656",
"telephone_number": "517-575-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E EDGEWOOD BLVD",
"city": "LANSING",
"state": "MI",
"postal_code": "489115807",
"telephone_number": "517-887-0015",
"fax_number": "517-887-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "DAVID",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.