Individual provider Active NPI

Allison Lee Whitener, OD

  • Optometrist
  • Caruthersville, MO
National Provider Identifier
1164589446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001018642 Issued in MO
Practice address
400 Ward Ave
Caruthersville, MO 63830-1451
Phone
(573) 333-3937
Fax
(573) 333-3938
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2001018642 MO Primary

Addresses

Primary practice location

400 Ward Ave
Caruthersville, MO 63830-1451

Mailing address

400 Ward Ave
Caruthersville, MO 63830-1451
Phone (573) 333-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040405001276 MO Practitioner - Optometry 6204828882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Ward Ave
Suite B
Caruthersville, MO 63830-1381

400 Ward Ave B
Caruthersville, MO 63830-1451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001018642MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
T M Swinger & D V McKillip, PTR Optometrist Past Accepting new patients
Bootheel Eye Care Optometrist PastSince Jan 12, 2004 Accepting new patients

Organizations & group practices 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164589446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301451",
            "telephone_number": "573-333-3937",
            "fax_number": "573-333-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301451",
            "telephone_number": "573-333-3937",
            "fax_number": "573-333-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENER",
        "first_name": "ALLISON",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001018642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caruthersville, MO

Sources for this page

Verify at the official NPI Registry.