Jeremy Thomas Whitney, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

030-0133940 Issued in VT

Practice address

150 Dorset St Ste 250
South Burlington, VT 05403-6238

Phone

(802) 497-0338

Fax

(802) 497-2963

NPI assigned

Apr 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champlain Eye and Vision PLLCGroup PAC ID 6608264734, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Champlain Eye and Vision PLLC

  • Optometrist
  • South Burlington, VT
  • NPI 1184292997
  Medicare reassignment Care Compare group NPD
• John Martell OD

  • Optometrist
  • South Burlington, VT
  • NPI 1326226192
  NPD (past)
• David Thomas Williams

  • Optometrist
  • Lakewood, WA
  • NPI 1508043019
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1033596127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DORSET ST",
            "address_2": "STE 250",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036238",
            "telephone_number": "802-497-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DORSET ST STE 250",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036238",
            "telephone_number": "802-497-0338",
            "fax_number": "802-497-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0133940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindley Aaron Wells
• Britta Werner, MD
• Katie Wheel, DVM
• Rachael Wheeler, DPT
• Abigale Whitman
• Brian B Wilcox, LCMHC
• Jessica Wilder
• Randie Jean Willand, O.D.
• Kylie Williams
• Mark E Williams, LCMHC

• Optometrist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.