Active NPI
John B. Whitlow, O.D.P.C.
- Optometrist
- Lagrange, GA
National Provider Identifier
1285843524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001301
- Legal business name
- JOHN B. WHITLOW, O.D.P.C.
- Practice address
- 407 S Greenwood St
Lagrange, GA 30240-3123 - Phone
- (706) 882-0616
- Fax
- (706) 882-8515
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donna Gaskins Whitlow, O.D.
- Title
- Secretary
- Phone
- (706) 882-0616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001301 | GA | Primary |
Addresses
Primary practice location
407 S Greenwood St
Lagrange, GA 30240-3123
Mailing address
407 S Greenwood St
Lagrange, GA 30240-3123
Phone (706) 882-0616
Other names 1
- West Georgia Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
407 S Greenwood St
Lagrange, GA 30240
Phone (706) 882-0616
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lagrange, GA
- NPI 1528053618
-
- Optometrist
- Lagrange, GA
- NPI 1750376414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1285843524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S GREENWOOD ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302403123",
"telephone_number": "706-882-0616",
"fax_number": "706-882-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S GREENWOOD ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302403123",
"telephone_number": "706-882-0616",
"fax_number": "706-882-8515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN B. WHITLOW, O.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "WHITLOW",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "GASKINS",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "706-882-0616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Georgia Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.