Individual provider Active NPI

David Burke Whitemarsh, O.D.

  • Optometrist
  • Silverdale, WA
National Provider Identifier
1215190897
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 60022209 Issued in WA
Practice address
9990 Mickelberry Rd NW
Silverdale, WA 98383-8531
Phone
(360) 692-7372
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD 60022209 WA Primary
Optometrist 152W00000X 3275ATI OR

Addresses

Primary practice location

9990 Mickelberry Rd NW
Silverdale, WA 98383-8531

Mailing address

9990 Mickelberry Rd NW
Silverdale, WA 98383-8531
Phone (360) 692-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080819000427 WA Practitioner - Optometry 0345315982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Kinney Whitemarsh PLLCGroup PAC ID 6204064389, 3 clinicians

Practice addresses (Care Compare)

2816 Wheaton Way
Bremerton, WA 98310-3433
Phone (360) 479-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3275ATIORMDOptometrist
OD 60022209WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
MC Kinney Whitemarsh PLLC Optometrist CurrentSince Jan 1, 2014 Accepting new patients
MC Kinney Whitemarsh PLLC Optometrist CurrentSince Jan 1, 2014 Accepting new patients

Locations

23160 NE State Route 3
Belfair, WA 98528
Phone (360) 275-2020

2816 Wheaton Way
Bremerton, WA 98310
Phone (360) 479-2020

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1215190897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838531",
            "telephone_number": "360-692-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838531",
            "telephone_number": "360-692-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMARSH",
        "first_name": "DAVID",
        "middle_name": "BURKE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60022209",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3275ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.