Individual provider Active NPI

Taffy J. Whiteman, O.D.

  • Optometrist
  • Westminster, CO
National Provider Identifier
1093991903
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2772 Issued in CO
Practice address
7155 Sheridan Blvd
Deliver to Vision Center
Westminster, CO 80003-3803
Phone
(303) 429-2020
Fax
(303) 429-2020
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3250ATI OR
Optometrist 152W00000X 2772 CO Primary
Optometrist 152W00000X OPC 4602 FL

Addresses

Primary practice location

7155 Sheridan Blvd
Deliver to Vision Center
Westminster, CO 80003-3803

Mailing address

7155 Sheridan Blvd
Deliver to Vision Center
Westminster, CO 80003-3803
Phone (303) 429-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120417000556 CO Practitioner - Optometry 4880855964 Practice locations: Parker, CO; Westminster, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4602FLMDOptometrist
2772COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A.T. Eyes PC Optometrist PastSince Oct 1, 2012 Accepting new patients
Parker Optical, PLLC Optometrist PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 2

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1093991903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 SHERIDAN BLVD",
            "address_2": "DELIVER TO VISION CENTER",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800033803",
            "telephone_number": "303-429-2020",
            "fax_number": "303-429-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 SHERIDAN BLVD",
            "address_2": "DELIVER TO VISION CENTER",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800033803",
            "telephone_number": "303-429-2020",
            "fax_number": "303-429-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "TAFFY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3250ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2772",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.