Individual provider Active NPI

Warren Whitley, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1033494182
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
810 Issued in NV
Practice address
770 S Meadows Pkwy Ste 108
Reno, NV 89521-4894
Phone
(775) 451-3937
Fax
(775) 360-6413
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 810 NV Primary

Addresses

Primary practice location

770 S Meadows Pkwy Ste 108
Reno, NV 89521-4894

Mailing address

770 S Meadows Pkwy Ste 108
Reno, NV 89521-4894
Phone (775) 451-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150311000879 NV Practitioner - Optometry 1951627868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

770 S Meadows Pkwy
Suite 108 109
Reno, NV 89521-4894
Phone (775) 451-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery South Meadows LLC Optometrist CurrentSince Nov 4, 2019 Accepting new patients

Locations

770 S Meadows Pkwy
Ste 108
Reno, NV 89521
Phone (775) 451-3937

Organizations & group practices 1

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1033494182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S MEADOWS PKWY STE 108",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214894",
            "telephone_number": "775-451-3937",
            "fax_number": "775-360-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S MEADOWS PKWY STE 108",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214894",
            "telephone_number": "775-451-3937",
            "fax_number": "775-360-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "WARREN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.