Individual provider Active NPI

Jason B Whitman, O.D.

  • Optometrist
  • Casper, WY
National Provider Identifier
1013034032
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
282T Issued in WY
Practice address
4621 SW Wyoming Blvd
Casper, WY 82601-6702
Phone
(307) 439-0100
Fax
(307) 439-1062
NPI assigned
Mar 23, 2007
Last updated
May 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 282T WY Primary

Addresses

Primary practice location

4621 SW Wyoming Blvd
Casper, WY 82601-6702

Mailing address

4621 SW Wyoming Blvd
Casper, WY 82601-6702
Phone (307) 439-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20040526000244 WY Practitioner - Optometry 1557342839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Institute of WyomingGroup PAC ID 7214822261, 2 clinicians
Larsen Vision Clinic PCGroup PAC ID 6103813548, 3 clinicians

Practice addresses (Care Compare)

301 S Fenway St
Suite 102
Casper, WY 82601-3049
Phone (307) 235-5384

3400 E 2ND St
Casper, WY 82609-2278
Phone (307) 266-9988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3891MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Gunflint Eye Care, LLC CurrentSince Sep 1, 2023 Accepting new patients
Eye Institute of Wyoming Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Curtis Optometric Clinic Optometrist Past Accepting new patients
Clear Image Vision Care, P.C. Optometrist PastSince Mar 9, 2008 Accepting new patients

Locations

301 S Fenway St
Ste 102
Casper, WY 82601
Phone (307) 235-5384

4621 SW Wyoming Blvd
Casper, WY 82601
Phone (307) 439-0100

815 E Richards St
Unit 6
Douglas, WY 82633
Phone (307) 358-2900

Organizations & group practices 6

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1013034032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 SW WYOMING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016702",
            "telephone_number": "307-439-0100",
            "fax_number": "307-439-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 SW WYOMING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016702",
            "telephone_number": "307-439-0100",
            "fax_number": "307-439-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "JASON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "282T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.