Organization Active NPI

Whitehead Eye Care PLLC

  • Optometrist
  • Kerrville, TX
National Provider Identifier
1023839602
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WHITEHEAD EYE CARE PLLC
Practice address
708 Hill Country Dr Ste 100
Kerrville, TX 78028-6071
Phone
(830) 688-6323
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Phillip Andrew Whitehead, ODNPI 1952752982
Title
OD
Phone
(830) 688-6323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

708 Hill Country Dr Ste 100
Kerrville, TX 78028-6071

Mailing address

708 Hill Country Dr Ste 100
Kerrville, TX 78028-6071
Phone (830) 688-6323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250103000052 TX Part B Supplier - Clinic/Group Practice 0244767226 Receives reassigned benefits from 2 practitioners
Practice locations: Kerrville, TX
O20250317003426 TX DME Supplier - Physician - Optometrist 0244767226 Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1023839602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HILL COUNTRY DR STE 100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286071",
            "telephone_number": "830-688-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HILL COUNTRY DR STE 100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286071",
            "telephone_number": "830-688-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHEAD EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "830-688-6323",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.

Verify at the official NPI Registry.