Active NPI
Whitson Vision, PC
- Ophthalmology Physician
- Fort Wayne, IN
National Provider Identifier
1023036472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01036301A
- Legal business name
- WHITSON VISION, PC
- Practice address
- 1818 Carew St
Suite 300
Fort Wayne, IN 46805-4788 - Phone
- (260) 373-7138
- Fax
- (260) 373-7139
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William E Whitson, MD
- Title
- Owner
- Phone
- (317) 844-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01036301A | IN | Primary |
Addresses
Primary practice location
1818 Carew St
Suite 300
Fort Wayne, IN 46805-4788
Mailing address
901 E 86TH St
Indianapolis, IN 46240-1807
Phone (317) 844-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040916001235 | IN | Part B Supplier - Clinic/Group Practice | 9931177029 |
Receives reassigned benefits from 10 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brownsburg, IN; Indianapolis, IN |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023036472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401807",
"telephone_number": "317-844-5500",
"fax_number": "317-208-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 CAREW ST",
"address_2": "SUITE 300",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054788",
"telephone_number": "260-373-7138",
"fax_number": "260-373-7139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITSON VISION, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-844-5500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "01036301A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.