Active NPI
Kristen Whitney
- Optician
- Madison, OH
National Provider Identifier
1295549293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP.017817-S
- Practice address
- 6067 N Ridge Rd
Madison, OH 44057-2441 - Phone
- (440) 417-0111
- Fax
- (440) 417-0108
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OP.017817-S | OH | Primary |
Addresses
Primary practice location
6067 N Ridge Rd
Madison, OH 44057-2441
Mailing address
3471 Schweitzer Rd
Rock Creek, OH 44084-9691
Phone (440) 858-7385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP.017817-S | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1295549293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 SCHWEITZER RD",
"city": "ROCK CREEK",
"state": "OH",
"postal_code": "440849691",
"telephone_number": "440-858-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6067 N RIDGE RD",
"city": "MADISON",
"state": "OH",
"postal_code": "440572441",
"telephone_number": "440-417-0111",
"fax_number": "440-417-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "OP.017817-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.