Individual provider Active NPI

Ray Craig Whetstone, OD

  • Optometrist
  • Naples, FL
National Provider Identifier
1124142047
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0002801 Issued in FL
Practice address
2640 Golden Gate Pkwy Ste 113
Naples, FL 34105-3200
Phone
(954) 298-8644
Fax
(239) 908-0755
NPI assigned
Mar 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC0002801 FL Primary

Addresses

Primary practice location

2640 Golden Gate Pkwy Ste 113
Naples, FL 34105-3200

Mailing address

2640 Golden Gate Pkwy Ste 113
Naples, FL 34105-3200
Phone (239) 908-4098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040603000900 FL Practitioner - Optometry 9436131471 Reassigns benefits to 1 organization
Practice locations: Naples, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC0002801FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Eye Center, P.a. CurrentSince Apr 7, 2018 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist CurrentSince Apr 7, 2018 Accepting new patients

Locations

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

2640 Golden Gate Pkwy
Ste 113
Naples, FL 34105
Phone (239) 908-4098

2640 Golden Gate Pkwy
Ste 115
Naples, FL 34105
Phone (239) 649-1650

2640 Golden Gate Pkwy
Ste 113115
Naples, FL 34105

Interoperability endpoints

  • Direct secure messaging: drwhetstone@tysoneye.imwdirect.com

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": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1124142047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 GOLDEN GATE PKWY STE 113",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053200",
            "telephone_number": "239-908-4098",
            "fax_number": "239-908-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 GOLDEN GATE PKWY STE 113",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053200",
            "telephone_number": "954-298-8644",
            "fax_number": "239-908-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTONE",
        "first_name": "RAY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0002801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.