Individual provider Active NPI

Walter O Whitley, MD

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1013976711
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001719 Issued in VA
Practice address
241 Corporate Blvd
Norfolk, VA 23502-4965
Phone
(757) 622-2200
Fax
(757) 622-4866
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001719 VA Primary

Addresses

Primary practice location

241 Corporate Blvd
Norfolk, VA 23502-4965

Mailing address

241 Corporate Blvd
Norfolk, VA 23502-4965
Phone (757) 622-2200

Other identifiers 2

IdentifierTypeStateIssuer
1013976711MedicaidVA
017589V49OtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080714000437 VA Practitioner - Optometry 7416050737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

241 Corporate Blvd
Suite 210
Norfolk, VA 23502-4965
Phone 75762222003020

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
60.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0618001719VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc Optometrist CurrentSince May 5, 2008 Accepting new patients
Eye Care Associates of Nevada Las Vegas, Inc Past Accepting new patients

Locations

2234 Cunningham Dr
Hampton, VA 23666
Phone (757) 742-3902

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

2463 Pruden Blvd
Suffolk, VA 23434
Phone (757) 742-3902

465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555

2020 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 742-3902

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: walter.whitley.p1@direct.vec.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1013976711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024965",
            "telephone_number": "757-622-2200",
            "fax_number": "757-622-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024965",
            "telephone_number": "757-622-2200",
            "fax_number": "757-622-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "WALTER",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013976711",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "017589V49",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.