Spencer H Whatcott, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7086TPA Issued in CA

Practice address

1700 McHenry Avenue
Suite 77
Modesto, CA 95350-4318

Phone

(209) 524-4626

Fax

(209) 524-1046

NPI assigned

Nov 17, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stanislaus Vision Associates Optometric Group IncGroup PAC ID 9133296460, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stanislaus Vision Associates Optometric Group Inc

  • Optometrist
  • Modesto, CA
  • NPI 1457425852
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1255405650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVENUE",
            "address_2": "SUITE 77",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504318",
            "telephone_number": "209-524-4626",
            "fax_number": "209-524-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVENUE",
            "address_2": "SUITE 77",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504318",
            "telephone_number": "209-524-4626",
            "fax_number": "209-524-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATCOTT",
        "first_name": "SPENCER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7086TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "94217822195350B3",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buffy Gene Wettstein
• Christopher S. Whang, MD
• Cole Whang
• Kevin Tae Il Whang, M.D.
• William W Whang, MD
• Monica Wheat
• Lexington Wheeler
• Lindsey Wheldon
• David Charles Wherry Sr., RNFA
• Jessica Izelle Whipkey

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.