Individual provider Active NPI

Whitney Pollock

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1033523832
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1952 Issued in KS
Practice address
10120 W 119TH St
Overland Park, KS 66213-1600
Phone
(913) 339-9090
Fax
(913) 339-6417
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS1952 KS Primary

Addresses

Primary practice location

10120 W 119TH St
Overland Park, KS 66213-1600

Mailing address

10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160310002469 KS Practitioner - Optometry 7517263916 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Overland Park PAGroup PAC ID 3375515596, 10 clinicians
Eye Associates of Leawood PAGroup PAC ID 8325139926, 6 clinicians
Eye Associates of Olathe PAGroup PAC ID 4284606492, 9 clinicians

Practice addresses (Care Compare)

10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090

15069 Nall Ave
Overland Park, KS 66223-4900
Phone (913) 825-2600

15257 W 135TH St
Olathe, KS 66062-1534
Phone (913) 780-9696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS1952KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Leawood PA Optometrist CurrentSince Feb 6, 2016 Accepting new patients
Eye Associates of Olathe PA Optometrist CurrentSince Feb 6, 2016 Accepting new patients
Eye Associates of Shawnee PA Optometrist CurrentSince Feb 6, 2016 Accepting new patients
Eye Associates of Overland Park PA Optometrist CurrentSince Feb 6, 2016 Accepting new patients
Eye Associates of South Overland Park Optometrist CurrentSince Aug 6, 2021 Accepting new patients
Eye Associates of North Overland Park Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

15257 W 135th St
Olathe, KS 66062
Phone (913) 780-9696

10120 W 119th St
Overland Park, KS 66213
Phone (913) 339-6417

15069 Nall Ave
Overland Park, KS 66223
Phone (913) 825-2600

8029 W 159th St
Overland Park, KS 66223
Phone (913) 339-9090

8925 Metcalf Ave
Overland Park, KS 66212
Phone (913) 261-9985

15951 W 65th St
Shawnee, KS 66217
Phone (913) 268-9190

Organizations & group practices 8

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1033523832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "WHITNEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.