Amanda Lynn Whittaker, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OP.017564-S Issued in OH

Practice address

1221 Georgesville Rd
Columbus, OH 43228-3327

Phone

(614) 275-9840

Fax

(614) 275-9847

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1245006998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283327",
            "telephone_number": "614-275-9840",
            "fax_number": "614-275-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283327",
            "telephone_number": "614-275-9840",
            "fax_number": "614-275-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP.017564-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan A Whitson, M.D., PH.D.
• Jenna Louise Whitt, PA-C
• Sarah Christine Whitt
• Zachary Anderson Whitt, MD
• Allyson Jane Whittaker, PA
• Erin Whittaker, D.D.S.
• Megan Whittaker
• Shawnnaw Nichole Whittaker
• Ambur Leeann Whitted-Pond, LISW
• Joshua Whitten, PA-C

• Optician in Columbus, OH
• Providers in Columbus, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.