Whitewater Eye Centers, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WHITEWATER EYE CENTERS, LLC

Doing business as

Eye Center of Oxford

Practice address

127 Lynn Ave
Oxford, OH 45056-1548

Phone

(866) 788-0001

Fax

(765) 966-2975

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Kevin T Scripture, MD

Title

Medical Director

Phone

(765) 962-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Eye Center of Oxford Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Greenville, OH
  • NPI 1548493562

  O20091112000210

  Same enrollment

Locations

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1245522275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473750399",
            "telephone_number": "765-962-2020",
            "fax_number": "765-966-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LYNN AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561548",
            "telephone_number": "866-788-0001",
            "fax_number": "765-966-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER EYE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SCRIPTURE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "765-962-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962480D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center of Oxford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Kaufer Wengler, PH.D.
• Pauline Werner, ATC
• Western Ohio Anesthesia Associates
• Dorionne Whitaker, CNP
• Nicole Marie White Malin, MD, MA
• Jennifer Williams
• Tammy R Williams, FNP- C
• Devyn Jo Wilson, LAT, ATC
• Amy Winkler, LPN
• Laura Christine Wonsik, MA, PCC

• Ophthalmology Physician in Oxford, OH
• Providers in Oxford, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.